Individual
ANDREA LINGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 STATE ST, MCCALL, ID 83638-3704
(208) 630-2283
Mailing address
PO BOX 595, MCCALL, ID 83638-0595
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6107
ID
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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