Individual
KATHLEEN WIDMYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
700 W IRONWOOD DR STE 246, COEUR D ALENE, ID 83814-4473
(208) 625-5688
(208) 625-5687
Mailing address
700 W IRONWOOD DR STE 246, COEUR D ALENE, ID 83814-4473
(208) 625-5688
(208) 625-5687
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
P5081
ID
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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