NPI 1184102600

Bertha Futse, PHARMD

Practitioner Pharmacist Moscow, ID

Practice location

Address: 2470 W Pullman Rd, Moscow, ID 83843-4034
Phone: (208) 882-1344
Fax: (208) 882-5886

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence P8076 (ID)

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Registry record

NPI: 1184102600
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Aug 2018
Record last updated: 6 Aug 2018

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.