Individual
SUZANNE WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
706 E SELTICE WAY, POST FALLS, ID 83854-8674
(208) 777-4071
(208) 773-0913
Mailing address
706 E SELTICE WAY, POST FALLS, ID 83854-8674
(208) 777-4071
(208) 773-0913
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5726
ID
Other
Enumeration date
10/20/2011
Last updated
11/12/2011
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