Jessica Vickers Valid NPI
Individual provider · Pharmacist · Twin Falls, ID
- NPI
- 1043694425
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- P7210 (ID)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2015-07-15
- Last updated
- 2015-07-15
Practice location
1611 Blue Lakes Blvd N
Twin Falls, ID 83301-3374
(208) 736-3321