Individual
MRS. SHAWNA LYNN DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8093 N CORNERSTONE DR, HAYDEN, ID 83835-8753
(208) 762-9355
(208) 762-9198
Mailing address
8093 N CORNERSTONE DR, HAYDEN, ID 83835-8753
(208) 762-9355
(208) 762-9198
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5560
ID
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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