Individual
MS. HOLLY J MCGRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
MISSION RD, BOX 717, FORT HALL, ID 83203
(208) 238-5408
Mailing address
PO BOX 4314, POCATELLO, ID 83205-4314
(208) 235-2336
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3580
MT
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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