Dvorak, Edith A

Dvorak, Edith A is an individual health care provider with primary practice located at 435 E Bonneville , Pocatello ID 83201. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Dvorak, Edith A can be contacted via phone (208) 233-3466.

Contact Information

Primary practice address
435 E Bonneville Pocatello ID 83201
Phone: (208) 233-3466
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P4603 Idaho

Profile Details

NPI number 1326101015
LBN Legal business name Dvorak, Edith A
Credentials PHARMD, R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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