Individual
SALLY MYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10 S MAIN ST, DRIGGS, ID 83422-9700
(208) 354-2334
Mailing address
10 S MAIN ST, DRIGGS, ID 83422-9700
(208) 354-2334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5340
ID
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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