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Individual

DR. ROBERT ALLEN MYERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., R.PH.

Contact information

Practice address
2252 CORONADO ST, IDAHO FALLS, ID 83404-7552
(208) 523-3360
(208) 523-3387
Mailing address
2252 CORONADO ST., IDAHO FALLS, ID 83404
(208) 523-3360
(208) 523-3387

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5104
ID

Other

Enumeration date
09/06/2006
Last updated
07/08/2007
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