Individual
ELISABETH HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2740 WEST PULLMAN RD, MOSCOW, ID 83843
(208) 882-1344
Mailing address
315 E THORN ST, COLFAX, WA 99111-1613
(509) 397-9130
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6261
ID
183500000X
Pharmacist
PH60098255
WA
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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