Individual
MS. PATRICIA A DE BLAQUIERE SUDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1817 RIVERSIDE RD., PRIEST RIVER, ID 83856
(208) 448-2407
(208) 448-0344
Mailing address
1817 RIVERSIDE RD., PRIEST RIVER, ID 83856
(208) 448-1633
(208) 448-0344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5228
ID
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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