Eric Vern Herzog

NPI #1316211873 in Twin Falls, Idaho

Provider Information

NPI Number: 1316211873
Entity Type: Individual
Name: Eric Vern Herzog
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Mar 1, 2012
Last Updated: Mar 1, 2012

Practice Location

Address: 705 BLUE LAKES BLVD N
City: Twin Falls
State: Idaho
ZIP Code: 83301-4007
Phone: (208) 736-5373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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