Individual
DENICE KAY SATTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
265 S EAGLE RD, EAGLE, ID 83616
(208) 321-2669
(208) 321-2675
Mailing address
265 S EAGLE RD, EAGLE, ID 83616
(208) 321-2669
(208) 321-2675
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5514
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P5514
IDAHO STATE BOARD OF PHARMACY LICENSE
ID
Enumeration date
11/02/2011
Last updated
01/08/2020
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