Individual
SHAWNA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217 W IRONWOOD DR, COEUR D ALENE, ID 83814-2651
(208) 765-9586
Mailing address
217 W IRONWOOD DR, COEUR D ALENE, ID 83814-2651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6723
ID
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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