Mary Jo Jo Lyons, RPH

NPI #1639373921 in Hayden, Idaho

Provider Information

NPI Number: 1639373921
Entity Type: Individual
Name: Mary Jo Jo Lyons, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jun 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 161 W PRAIRIE SHOPPING CTR
City: Hayden
State: Idaho
ZIP Code: 83835-9853
Phone: (208) 772-7864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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