Individual
SHARON J WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
274 RESERVOIR DR, LEWISTON, ID 83501-9637
(208) 746-6468
Mailing address
274 RESERVOIR DR, LEWISTON, ID 83501-9637
(208) 746-6468
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4495
ID
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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