Individual
MELANIE PRESCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
880 W QUINN RD, CHUBBUCK, ID 83202-2454
(208) 238-2000
Mailing address
500 S 11TH AVE STE 400, POCATELLO, ID 83201-4880
(208) 232-7862
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5378
ID
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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