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Individual

BRITTA SHELDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3301 W CHERRY LN, MERIDIAN, ID 83642-1119
(208) 884-5475
Mailing address
485 W VALENTINO ST, MERIDIAN, ID 83646-5318
(208) 695-0086

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CT20955
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CT20955
CERTIFIED PHARMACY TECHNICIAN LICENSE
ID
Enumeration date
06/05/2019
Last updated
06/05/2019
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