Individual
MAREN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
2100 ALAN ST STE 2, IDAHO FALLS, ID 83404-5801
(208) 407-7979
Mailing address
2100 ALAN ST STE 2, IDAHO FALLS, ID 83404-5801
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6361477
ID
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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