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Individual

DR. NATHAN MYERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1901 SOUTH 2500 EAST, IDAHO FALLS, ID 83406
(208) 524-1616
Mailing address
1901 SOUTH 2500 EAST, IDAHO FALLS, ID 83406
(208) 524-1616

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5990
ID

Other

Enumeration date
06/30/2011
Last updated
06/30/2011
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