Individual
MR. SHAIN JESSUP DAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1203 IDAHO ST, LEWISTON, ID 83501-1940
(208) 848-8290
(208) 848-8291
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(208) 848-8290
(208) 848-8291
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5849
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6968
NONE
ID
01
—
6968696869
NONE
HI
Enumeration date
09/29/2009
Last updated
05/06/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us