Diana L Rackham Nielson, RPH Valid NPI
Individual provider · Pharmacist · Twin Falls, ID
- NPI
- 1568753218
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- P4507 (ID)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-04-28
- Last updated
- 2011-04-28
Practice location
731 Poleline Rd, Attention Pharmacy
Twin Falls, ID 83301-3036
(208) 736-1725