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Individual

KAMI THIMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1026 S CHALLIS ST, SALMON, ID 83467-5441
(208) 742-1285
Mailing address
1026 S CHALLIS ST, SALMON, ID 83467-5441
(208) 742-1285

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
CS6520
ID
183500000X
Pharmacist
Primary
P5123
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P5123
STATE BOARD OF PHARMACY
ID
Enumeration date
09/21/2015
Last updated
09/21/2015
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