Individual
SERENA RAQUEL HAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
250 S EAGLE RD, EAGLE, ID 83616-5906
(208) 939-9854
Mailing address
250 S EAGLE RD, EAGLE, ID 83616-5906
(208) 939-9854
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8055
ID
Other
Enumeration date
07/18/2018
Last updated
01/19/2024
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