Individual
JAN OSTERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4850 N LINDER RD, MERIDIAN, ID 83646-6159
(208) 319-0047
(208) 319-0053
Mailing address
4850 N LINDER RD, MERIDIAN, ID 83646-6159
(208) 319-0047
(208) 319-0053
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5533
ID
Other
Enumeration date
08/27/2011
Last updated
08/27/2011
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