Ashley Otis

NPI #1134711419 in Chubbuck, Idaho

Provider Information

NPI Number
1134711419
Entity Type
Individual
Name
Ashley Otis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 8, 2021
Last Updated
Feb 8, 2021

Practice Location

Address
4257 YELLOWSTONE AVE
State
Idaho
ZIP Code
83202-2419
Phone
(208) 237-3940

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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