Individual
ANN ELIZABETH EBENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-2500
Mailing address
1850 POMERELLE DR, TWIN FALLS, ID 83301-3542
(208) 412-3266
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5682
ID
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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