Individual
JENNIFER CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
700 W IRONWOOD DR STE 159, COEUR D ALENE, ID 83814-4401
(208) 625-3190
Mailing address
1398 C ST, PLUMMER, ID 83851-9708
(208) 640-6163
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
P6272
ID
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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