Individual
CARA MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5901 COUNTRY CLUB DR, POCATELLO, ID 83204-4631
(208) 241-1590
Mailing address
5901 COUNTRY CLUB DR, POCATELLO, ID 83204-4631
(208) 241-1590
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0013005
OR
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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