Individual
ANNA HIMRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E 17TH ST, IDAHO FALLS, ID 83404-6151
(208) 522-3572
Mailing address
800 E 17TH ST, IDAHO FALLS, ID 83404-6151
(208) 522-3572
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7164
ID
Other
Enumeration date
02/12/2015
Last updated
11/24/2017
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