Individual
LUKE SNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
101 S MAIN ST, HAILEY, ID 83333-8408
(208) 788-4970
(208) 788-5791
Mailing address
1920 LAURELWOOD DR, HAILEY, ID 83333-7606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6248
ID
Other
Enumeration date
04/12/2017
Last updated
06/01/2020
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