Individual
SHARLA RACHELLE COMSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
521 N 3RD AVE, SANDPOINT, ID 83864-1506
(208) 265-3731
(208) 356-1031
Mailing address
421 LARKSPUR ST STE D, PONDERAY, ID 83852-5034
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6765
ID
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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