Individual
LISA MCBETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4240 YELLOWSTONE AVE, CHUBBUCK, ID 83202-2420
(208) 237-5091
(208) 237-6897
Mailing address
4240 YELLOWSTONE AVE, CHUBBUCK, ID 83202-2420
(208) 237-5091
(208) 237-6897
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4910
ID
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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