Individual
MS. JODY SEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
223 16TH AVE N, NAMPA, ID 83687-4058
(208) 318-1376
Mailing address
2429 LAPPIN LN, COUNCIL, ID 83612-5237
(208) 253-0285
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4431
ID
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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