Individual
WILLIAM FENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5453 US HWY 2, PRIEST RIVER, ID 83856
(208) 448-1633
Mailing address
5453 US HWY 2, PRIEST RIVER, ID 83856
(208) 448-1633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9171372
ID
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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