Individual
ROD THAD TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
524 TYHEE AVE, AMERICAN FALLS, ID 83211-1224
(208) 226-2411
(208) 226-5124
Mailing address
3136 WILLOW ST, AMERICAN FALLS, ID 83211-5520
(208) 226-2411
(208) 226-5124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4009
ID
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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