Individual
LETITIA ANNE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
2250 CORONADO ST, IDAHO FALLS, ID 83404-7552
(208) 528-7979
(208) 523-2238
Mailing address
5824 E RANCHO VIA DR, IDAHO FALLS, ID 83406-8007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11419
AZ
183500000X
Pharmacist
Primary
P5966
ID
183500000X
Pharmacist
RP5777
NM
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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