HENAN LI

POCATELLO, ID
NPI1144629171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  CS15129)
Additional Taxonomies183500000X Pharmacist
(Licence: ID  P6474)
Enumeration Date2014-08-14
Last Update Date2014-08-14
Business Address
HENAN LI
4240 YELLOWSTONE AVE
POCATELLO, ID 83202-2420
Phone number: 208-237-5091
Mailing Address
HENAN LI
4240 YELLOWSTONE AVE
POCATELLO, ID 83202-2420
Phone number: