Individual
JEFFREY ALAN BASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM-D
Contact information
Practice address
103 E COLLEGE AVE, ST MARIES, ID 83861-2247
(208) 245-4578
Mailing address
103 E COLLEGE AVE, ST MARIES, ID 83861-2247
(208) 245-4578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5170
ID
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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