Provider First Line Business Practice Location Address:
IDAHO STATE UNIVERSITY COLLEGE OF PHARMACY
Provider Second Line Business Practice Location Address:
CAMPUS BOX 8288
Provider Business Practice Location Address City Name:
POCATELLO
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83209-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-282-2175
Provider Business Practice Location Address Fax Number:
208-282-4482
Provider Enumeration Date:
08/11/2005