Individual
DENNIS A STODDARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
120 S RAILROAD AVE, POCATELLO, ID 83204-3205
(208) 236-5396
(208) 236-5201
Mailing address
780 E CHUBBUCK RD, CHUBBUCK, ID 83202-1759
(208) 236-5396
(208) 236-5201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P3656
ID
Other
Enumeration date
01/19/2006
Last updated
07/08/2007
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