Individual
JOANNE VESTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2434
(208) 799-5626
(208) 799-5424
Mailing address
415 6TH ST, LEWISTON, ID 83501-2434
(208) 799-5626
(208) 799-5424
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4899
ID
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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