Individual
DR. HALEY BASNAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
560 W KATHLEEN AVE, COEUR D ALENE, ID 83815-8392
(208) 665-4733
Mailing address
11921 E RAILROAD CIR, SPOKANE VALLEY, WA 99206-4628
(509) 671-5596
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P9575
ID
Other
Enumeration date
09/10/2021
Last updated
09/17/2021
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