Individual
MS. LYNN D LONGWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3263 N EAGLE RD, MERIDIAN, ID 83646-5702
(208) 319-0612
(208) 319-0627
Mailing address
3263 N EAGLE RD, MERIDIAN, ID 83646-5702
(208) 319-0612
(208) 319-0627
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6124
ID
Other
Enumeration date
10/19/2011
Last updated
01/20/2012
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