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Individual

ASHLEY LYNETTE VANVLECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
31964 N 5TH AVE, SPIRIT LAKE, ID 83869
(208) 623-8485
Mailing address
PO BOX 510, SPIRIT LAKE, ID 83869-0510
(208) 623-8485

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7104
ID
183500000X
Pharmacist
PH60468269
WA
183500000X
Pharmacist
RPH0020596
OR

Other

Enumeration date
08/06/2014
Last updated
01/28/2026
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