Individual
PAUL ANTHONY POMEROY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2327 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2738
Mailing address
2327 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2738
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4906
ID
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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