Lisa A Maxwell, PHARMD Valid NPI
Individual provider · Pharmacist · Twin Falls, ID
- NPI
- 1548557598
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- P5180 (ID)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-06-28
- Last updated
- 2011-06-28
Practice location
2550 Addison Ave E, Suite C
Twin Falls, ID 83301-6749
(208) 814-7975