Individual
JENNALYN JOY CRAPUCHETTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
622 E USTICK RD, CALDWELL, ID 83605-6311
(208) 454-5640
Mailing address
622 E USTICK RD, CALDWELL, ID 83605-6311
(208) 454-5640
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P9016
ID
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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