Individual
MR. GERALD K STEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
596 EAGLEWOOD DR, REXBURY, ID 83440
(208) 656-0156
Mailing address
596 EAGLEWOOD DR, REXBURG, ID 83440
(208) 656-0156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1243
AK
183500000X
Pharmacist
4963
MT
183500000X
Pharmacist
P4248
ID
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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