Staci Marie Thayer, PHARMD Valid NPI
Individual provider · Pharmacist · Twin Falls, ID
- NPI
- 1629613302
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- P8470 (ID)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2019-11-17
- Last updated
- 2019-11-17
Practice location
306 Blue Lakes Blvd N
Twin Falls, ID 83301-4827
(208) 734-4053