Individual
MS. HOLLY ANNE HENGGELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
405 S MAIN ST, PAYETTE, ID 83661-3317
(208) 642-9331
(208) 642-1550
Mailing address
405 SOUTH 8TH STREET, PAYETTE, ID 83661
(208) 642-9331
(208) 642-1550
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5513
ID
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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