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Organization
AVIVA NORTHWEST, PLLC
Active
Organization
AVIVA NORTHWEST, PLLC
Active
Other names
Aviva Northwest
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER TAYLOR DPH (OWNER)
(509) 385-1290
Entity
Organization
Contact information
Practice address
301 N 1ST ST APT 416, COEUR D ALENE, ID 83814-2845
(509) 688-6023
(509) 231-7045
Mailing address
301 N 1ST ST APT 416, COEUR D ALENE, ID 83814-2845
(509) 868-6023
(509) 231-7045
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
—
NULL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
—
—
Other
Enumeration date
12/31/2024
Last updated
04/19/2025
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