Individual
BRANDI E SLACHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSRPH
Contact information
Practice address
164 E MAIN STREET, REXBURG, ID 83440
(208) 227-5076
(208) 227-5079
Mailing address
16630 E RIRIE HWY, RIRIE, ID 83443-5016
(208) 538-7498
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5119
ID
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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