Individual
PAMELA JEAN BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
411 N MAIN ST, MOSCOW, ID 83843-2630
(208) 882-0900
(208) 883-1407
Mailing address
411 N MAIN ST, MOSCOW, ID 83843-2630
(208) 882-0900
(208) 883-1407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4766
ID
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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