Individual
DR. CAMERON JO MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
MISSION ROAD, FORT HALL, ID 83203
(208) 238-5400
Mailing address
1750 W 200 N, BLACKFOOT, ID 83221-5047
(208) 339-2375
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7872
ID
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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