Iliff, Jacalyn R
Iliff, Jacalyn R is an sole proprietor health care provider with primary practice located at 9850 W St Lukes Dr , Nampa ID 83687-7912. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Iliff, Jacalyn R can be contacted via phone (208) 205-7779.Contact Information
Primary practice address
9850 W St Lukes Dr
Nampa ID 83687-7912
Phone: (208) 205-7779
Fax: (208) 205-7780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 7716 | Montana |
| Pharmacy Service Providers / Pharmacist | 183500000X | 3456 | Wyoming |
| Pharmacy Service Providers / Pharmacist | 183500000X | P6841 | Idaho |
Profile Details
| NPI number | 1992091649 |
|---|---|
| LBN Legal business name | Iliff, Jacalyn R |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2011 |
| Last updated | Apr 30th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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