Individual
RILEY HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1320 S BLAINE ST, MOSCOW, ID 83843-3971
(208) 882-2663
(208) 882-0297
Mailing address
1051 ELK MEADOW LN, DEARY, ID 83823-9696
(208) 669-2526
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I42848
ID
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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