Individual
MAURIA PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
520 N 3RD AVE, SANDPOINT, ID 83864-1507
(208) 265-3731
(208) 265-1031
Mailing address
PO BOX 705, PONDERAY, ID 83852-0705
(208) 304-1813
(208) 265-1031
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4371
ID
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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