Individual
MRS. VICTORIA AUTUMN GOMBERT HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
921 S 8TH AVE STOP 8333, ISU COLLEGE OF PHARMACY, POCATELLO, ID 83209-8333
(208) 589-3784
Mailing address
921 S 8TH AVE STOP 8333, ISU COLLEGE OF PHARMACY, POCATELLO, ID 83209-8333
(208) 589-3784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6845
ID
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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