Individual
DR. STEPHANIE D GEDDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
715 12TH AVE S, NAMPA, ID 83651-4254
(208) 466-3592
Mailing address
715 12TH AVE S, NAMPA, ID 83651-4254
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5970
ID
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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