Individual
BEAU REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1913 ADDISON AVE E, TWIN FALLS, ID 83301-5305
(208) 734-4581
(208) 736-7144
Mailing address
1141 PARK AVE, KIMBERLY, ID 83341-5008
(208) 705-4731
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6337
ID
Other
Enumeration date
10/07/2011
Last updated
01/25/2021
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