Individual
SHEA SEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
504 N DIVISION ST, PINEHURST, ID 83850
(208) 682-3920
(208) 682-3939
Mailing address
PO BOX 400, PINEHURST, ID 83850-0400
(208) 682-3920
(208) 682-3939
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7581
ID
Other
Enumeration date
10/12/2016
Last updated
04/24/2025
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