NPI 1023385523

Heather Ann Smith

Practitioner Pharmacist Moscow, ID

Practice location

Address: 414 N Main St, Moscow, ID 83843-2631
Phone: (208) 882-6076
Mailing address: 2011 11th Ave, Clarkston, WA 99403-1734

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence P6403 (ID)

Other Pharmacist providers in Idaho →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence PH60156577 (WA)

Registry record

NPI: 1023385523
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Nov 2011
Record last updated: 28 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.