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Individual

RACHEL ANNE STUMPHAUZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1919 LINCOLN WAY STE 211, COEUR D ALENE, ID 83814-2527
(208) 625-5500
(208) 625-5501
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5500
(208) 625-5501

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P9553
ID
1835P2201X
Ambulatory Care Pharmacist
2019025933
MO
1835P2201X
Ambulatory Care Pharmacist
P9553
ID

Other

Enumeration date
07/30/2021
Last updated
08/26/2021
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