Individual
MR. MICHAEL S. HESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
525 PINE ST, POTLATCH, ID 83855
(208) 875-1212
(208) 875-0859
Mailing address
3109 W TWIN RD, MOSCOW, ID 83843-8129
(208) 882-4075
(208) 875-0859
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4155
ID
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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