Ashley Otis Valid NPI
Individual provider · Community/Retail Pharmacy · Chubbuck, ID
- NPI
- 1134711419
- Type
- Individual (Type 1)
- Primary specialty
- Community/Retail Pharmacy (Pharmacy)
- Specialty group
- Suppliers
- Taxonomy code
- 3336C0003X
- License number
- P9227 (ID)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2021-02-08
- Last updated
- 2021-02-08
Practice location
4257 Yellowstone Ave
Chubbuck, ID 83202-2419
(208) 237-3940