Individual
RITA JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 BEVER GRADE RD, LAPWAI, ID 83540
(208) 843-2271
Mailing address
1711 BURRELL DR, LEWISTON, ID 83501-5984
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4692
ID
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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