Individual
HEIDI RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
490 N 2ND E, MTN HOME, ID 83647-2729
(208) 587-3346
(208) 587-2052
Mailing address
490 N 2ND E, MOUNTAIN HOME, ID 83647-2729
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5837
ID
Other
Enumeration date
09/29/2005
Last updated
04/30/2012
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