Individual
ELIZABETH NICOLE EMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2434
(208) 799-5520
(208) 799-5424
Mailing address
2726 17TH ST APT 103, LEWISTON, ID 83501-6383
(605) 787-2601
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
P10767
ID
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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