Individual
TONI MARIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3475 E 17TH ST, AMMON, ID 83406-6781
(208) 227-5083
Mailing address
4673 E 100 N, RIGBY, ID 83442-5808
(208) 403-4968
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6796
ID
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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