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Individual

DR. JENNIFER ROE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1513 12TH AVE RD, NAMPA, ID 83686-6008
(208) 465-7000
Mailing address
1513 12TH AVE RD, NAMPA, ID 83686-6008
(208) 465-7000

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7065
ID

Other

Enumeration date
09/09/2015
Last updated
09/09/2015
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