Individual
KRISTEN DEMALINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1001 N 4TH ST, COEUR D ALENE, ID 83814-3113
(208) 667-3860
Mailing address
1001 N 4TH ST, COEUR D ALENE, ID 83814-3113
(208) 667-3860
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302412519
MI
183500000X
Pharmacist
Primary
P9340
ID
Other
Enumeration date
10/12/2020
Last updated
06/22/2021
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