DR. Erik Bergstrom, PHARM D

NPI #1073897260 in Rexburg, Idaho

Provider Information

NPI Number: 1073897260
Entity Type: Individual
Name: DR. Erik Bergstrom, PHARM D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM D
Enumeration Date: Oct 5, 2011
Last Updated: Oct 5, 2011

Practice Location

Address: 164 E MAIN ST
City: Rexburg
State: Idaho
ZIP Code: 83440-1912
Phone: (208) 227-5076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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