Individual
JANE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
1090 W PARK PL, COEUR D ALENE, ID 83814-2785
(208) 620-5250
Mailing address
1090 W PARK PL, COEUR D ALENE, ID 83814-2785
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3281210
ID
183500000X
Pharmacist
Primary
PD17689
AR
Other
Enumeration date
05/13/2026
Last updated
05/19/2026
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