Individual
THERESA KATHLEEN ALLGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
210 N HIGHBROOK WAY, STAR, ID 83669-6219
(208) 272-9450
(208) 272-9449
Mailing address
3023 S CREEK POINTE LN, EAGLE, ID 83616-7186
(847) 736-3490
(208) 272-9449
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.288300
IL
183500000X
Pharmacist
Primary
P8284
ID
Other
Enumeration date
06/20/2013
Last updated
05/24/2024
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