JANE GENNRICH

MERIDIAN, ID
NPI1043338825
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P4997)
Additional Taxonomies183500000X Pharmacist
(Licence: CA  41041)
183500000X Pharmacist
(Licence: NV  9530)
Enumeration Date2007-03-27
Last Update Date2007-07-08
Business Address
-- JANE GENNRICH PharmD
2054 S SILVERSTONE WAY
MERIDIAN, ID 83642-8108
Phone number: 208-887-1951
Mailing Address
-- JANE GENNRICH PharmD
5526 N SCHUBERT AVE
MERIDIAN, ID 83642-4733
Phone number: 208-888-6559