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Individual

ANN OEHLERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
31964 N. FIFTH AVE, SPIRIT LAKE, ID 83869
(208) 623-8485
(208) 623-3400
Mailing address
PO BOX 510, SPIRIT LAKE, ID 83869-0510
(208) 623-8485
(208) 623-3400

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
CS15411
ID
183500000X
Pharmacist
Primary
P6360
ID

Other

Enumeration date
12/09/2011
Last updated
02/16/2018
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