Tarmigan Cushing

NPI #1154720936 in Ammon, Idaho

Provider Information

NPI Number: 1154720936
Entity Type: Individual
Name: Tarmigan Cushing
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 18, 2014
Last Updated: Aug 18, 2014

Practice Location

Address: 1201 S 25TH E
City: Ammon
State: Idaho
ZIP Code: 83406-5729
Phone: (208) 522-2866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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