Individual
MICKAYLA SAMPILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 E NEIDER AVE, COEUR D ALENE, ID 83815-3723
(208) 676-7353
Mailing address
22855 E COUNTRY VISTA DR APT 414, LIBERTY LAKE, WA 99019-5020
(509) 863-2819
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8161471
ID
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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