Individual
DR. VERNA JAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 S STATE ST, PRESTON, ID 83263-5509
(208) 852-0163
Mailing address
217 S STATE ST, PRESTON, ID 83263-5509
(208) 852-0163
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10158
ID
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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