Jack Arthur Helgeson, RPh
Pharmacist in Payette, ID. Individual provider (NPI-1).
NPI number1972890366
StatusActive
Last updated in NPPESJul 6, 2011
Details
- NPI
- 1972890366
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jack Arthur Helgeson
- Credential
- RPh
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2011
- Last updated
- Jul 6, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | P5317 | ID | Yes |
| 183500000X | Pharmacist | PH00009915 | WA | |
| 183500000X | Pharmacist | RPH0008024 | OR |
Practice location
405 S Main StPayette, ID 83661-3317
Phone 208-642-9331 · Fax 208-642-1550
Mailing address
405 S 8th StPayette, ID 83661
Phone 208-642-9331 · Fax 208-642-1550
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