Individual
MARY JO JO LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
161 W PRAIRIE SHOPPING CTR, HAYDEN, ID 83835-9853
(208) 772-7864
(208) 772-7905
Mailing address
8394 N PARKSIDE DR, HAYDEN, ID 83835-8253
(208) 762-9100
(208) 772-7905
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5213
ID
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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