Jessica Vickers

NPI #1043694425 in Twin Falls, Idaho

Provider Information

NPI Number: 1043694425
Entity Type: Individual
Name: Jessica Vickers
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jul 15, 2015
Last Updated: Jul 15, 2015

Practice Location

Address: 1611 BLUE LAKES BLVD N
City: Twin Falls
State: Idaho
ZIP Code: 83301-3374
Phone: (208) 736-3321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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