Individual
KATHERINE ELIZABETH BRYAN WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 743-2511
Mailing address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 743-2511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10687
ID
Other
Enumeration date
09/12/2023
Last updated
12/13/2023
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