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Individual

MS. FREDERICA A GOULD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
444 HOSPITAL WAY STE 801, POCATELLO, ID 83201-2792
(208) 232-6214
Mailing address
1675 JUNIPER DR, POCATELLO, ID 83204-4905

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4393
ID

Other

Enumeration date
07/08/2006
Last updated
07/08/2007
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