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Eric Vern Herzog Valid NPI

Individual provider · Pharmacist · Twin Falls, ID

NPI
1316211873
Type
Individual (Type 1)
Primary specialty
Pharmacist
Specialty group
Pharmacy Service Providers
Taxonomy code
183500000X
License number
P5550 (ID)
Sex
Male
Sole proprietor
No
Enumerated
2012-03-01
Last updated
2012-03-01
Practice location
705 Blue Lakes Blvd N
Twin Falls, ID 83301-4007
(208) 736-5373

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