Mary Jo Jo Lyons RPH

NPI 1639373921 - Pharmacist - 183500000X

NPI Details
NPI 1639373921
Gender Female
Enumeration Date 06/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
161 W PRAIRIE SHOPPING CTR
HAYDEN ID, 83835-9853, US
Phone (208) 772-7864
Fax (208) 772-7905
Business Location
8394 N PARKSIDE DR
HAYDEN ID, 83835-8253, US
Phone (208) 762-9100
Fax (208) 772-7905
Toxanomy
Taxonomy Code 183500000X
License State Idaho
License Number P5213
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According to our database, Mary Jo Jo Lyons RPH NPI is 1639373921, taxonomy code is 183500000X and license number is P5213, license state is located at Idaho. Mary Jo Jo Lyons RPH physically located at 161 W Prairie Shopping Ctr, Hayden ID, 83835-9853. NPI Number Mary Jo Jo Lyons RPH has the Individual type.

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1639373921 NPI number is provided on an as is basis without warranty of any kind. 1639373921 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Jo Jo Lyons RPH are for informational purposes only.