Individual
NICKI ELIZABETH MUIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
700 E ALICE ST, BLACKFOOT, ID 83221
(208) 782-2735
Mailing address
675 MATHEW ST, CHUBBUCK, ID 83202-5367
(208) 782-2735
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5283
ID
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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