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Individual

CHESTER C THORSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
164 E MAIN ST, REXBURG, ID 83440-1912
(208) 227-5076
(208) 227-5079
Mailing address
164 E MAIN ST, REXBURG, ID 83440-1912
(208) 227-5076
(208) 227-5079

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4790
ID

Other

Enumeration date
07/20/2007
Last updated
07/20/2007
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