Individual
DR. JESSICA ALBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
590 E 17TH ST, IDAHO FALLS, ID 83404-6154
(208) 523-1090
Mailing address
500 S UTAH AVE, IDAHO FALLS, ID 83402-3305
(208) 528-8703
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
6618851-1701
UT
183500000X
Pharmacist
Primary
P11280
ID
Other
Enumeration date
08/01/2022
Last updated
06/18/2025
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