Individual
LYNDELL CORIN BASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
117 N HILL ST, KELLOGG, ID 83837-2224
(208) 783-0920
Mailing address
117 N HILL ST, KELLOGG, ID 83837-2224
(208) 783-0920
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6196
ID
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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