Individual
CAROL SUE ARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1024 21ST ST, LEWISTON, ID 83501-3416
(208) 743-1529
(208) 746-3323
Mailing address
1024 21ST ST, LEWISTON, ID 83501-3416
(208) 743-1529
(208) 746-3323
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4802
ID
183500000X
Pharmacist
PH00016208
WA
Other
Enumeration date
04/14/2011
Last updated
12/18/2013
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