Individual
JACKIE RAE FITTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5678
(208) 625-5677
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5678
(208) 625-5677
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6113
ID
Other
Enumeration date
09/29/2019
Last updated
09/29/2019
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