MR. Thomas Vanderholm, PHARMD

NPI #1780170480 in Priest River, Idaho

Provider Information

NPI Number
1780170480
Entity Type
Individual
Name
MR. Thomas Vanderholm, PHARMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
PHARMD
Enumeration Date
Jul 5, 2018
Last Updated
Jul 5, 2018

Practice Location

Address
5453 HIGHWAY 2
State
Idaho
ZIP Code
83856
Phone
(208) 448-1633

Specialties & Taxonomy Codes

Specialty
Pharmacist

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