Individual
PAULA KAY SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
201 N WASHINGTON AVENUE, KETCHUM, ID 83340
(208) 914-5822
(208) 726-1179
Mailing address
PO BOX 6464, KETCHUM, ID 83340-6464
(208) 914-5822
(208) 726-1179
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6022
ID
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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