Individual
MARIAH THORPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 S BLAINE ST, MOSCOW, ID 83843-3971
(208) 883-0713
Mailing address
721 E 6TH ST, MOSCOW, ID 83843-3526
(509) 992-4669
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10567
ID
183500000X
Pharmacist
PH61187504
WA
Other
Enumeration date
03/07/2022
Last updated
08/07/2023
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