Individual
DR. RULON EPHRAIM SQUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4921 S 5TH AVE, POCATELLO, ID 83204-2209
(623) 606-7930
Mailing address
1550 EASTPOINTE DR, POCATELLO, ID 83201-5159
(623) 606-7930
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
P10841
ID
1835N0905X
Nuclear Pharmacist
24939
NV
1835N0905X
Nuclear Pharmacist
Primary
P10841
ID
Other
Enumeration date
07/03/2026
Last updated
07/03/2026
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