Individual
AMY MCGRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
476999 HIGHWAY 95, PONDERAY, ID 83852-9738
(208) 265-4490
(208) 265-0794
Mailing address
476999 HIGHWAY 95, PONDERAY, ID 83852-9738
(208) 265-4490
(208) 265-0794
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6128
ID
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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