Individual
JANET WOODBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
20 EAST WYOMING, HOMEDALE, ID 83628
(208) 337-4888
(208) 337-4898
Mailing address
16329 BEET RD, CALDWELL, ID 83607-9371
(208) 459-1246
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4366
ID
183500000X
Pharmacist
PH00011129
WA
183500000X
Pharmacist
S017443
AZ
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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