Takoda Averett

NPI #1902522600 in Pocatello, Idaho

Provider Information

NPI Number: 1902522600
Entity Type: Individual
Name: Takoda Averett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 13, 2022
Last Updated: Oct 13, 2022

Practice Location

Address: 1015 YOUNG ST.
City: Pocatello
State: Idaho
ZIP Code: 83201-8320
Phone: (410) 200-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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