Individual
TANYA MARIE SNODGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 S. MAIN ST., ATTN: PHARMACY, MOSCOW, ID 83843
(208) 883-2236
Mailing address
700 S MAIN ST, MOSCOW, ID 83843-3056
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6151
ID
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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