Individual
ROXANNA HEDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-1000
Mailing address
1465 FIELDSTREAM WAY APT 102, TWIN FALLS, ID 83301-6491
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10800
ID
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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