Individual
ZACHARY REX GUNDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
164 E MAIN ST, REXBURG, ID 83440-1912
(208) 227-5076
Mailing address
164 E MAIN ST, REXBURG, ID 83440-1912
(208) 227-5076
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10090
ID
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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