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Joanne Vestal, PharmD

Pharmacist in Lewiston, ID. Individual provider (NPI-1).

NPI number1154800522
StatusActive
Last updated in NPPESAug 7, 2018

Details

NPI
1154800522
Entity type
Individual (NPI-1)
Name
Joanne Vestal
Credential
PharmD
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 7, 2018
Last updated
Aug 7, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistP4899IDYes

Practice location

415 6th St
Lewiston, ID 83501-2434

Phone 208-799-5626 · Fax 208-799-5424

Mailing address

415 6th St
Lewiston, ID 83501-2434

Phone 208-799-5626 · Fax 208-799-5424

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