Individual
CASSIDY PAIGE HOWARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5861 VICTOR MEADOWS DR, VICTOR, ID 83455-5482
(208) 201-9728
Mailing address
5861 VICTOR MEADOWS DR, VICTOR, ID 83455-5482
(208) 201-9728
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E42512
ID
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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