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Individual

BRADY VICTOR BROWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
990 S CESAR CHAVEZ AVE, POCATELLO, ID 83209-8425
(208) 282-3407
(208) 282-6150
Mailing address
990 S 8TH AVE STOP 8158, POCATELLO, ID 83201-4982
(208) 241-5764

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6089
ID

Other

Enumeration date
10/06/2011
Last updated
04/07/2021
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