Individual
LORENA MCCLUSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
100 HOSPITAL DR, KETCHUM, ID 83340
(208) 727-8300
Mailing address
PO BOX 5737, KETCHUM, ID 83340-5681
(678) 758-4891
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7208
ID
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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