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Individual

BRIAN CHRISTENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
500 S UTAH AVE, IDAHO FALLS, ID 83402-3305
(208) 528-8703
(208) 528-8695
Mailing address
1832 E 25TH ST, IDAHO FALLS, ID 83404-6464
(208) 317-7133

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5581
ID

Other

Enumeration date
10/25/2015
Last updated
10/25/2015
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