Lyons, Mary Jo Jo
Lyons, Mary Jo Jo is an sole proprietor health care provider with primary practice located at 161 W Prairie Shopping Ctr , Hayden ID 83835-9853. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Lyons, Mary Jo Jo can be contacted via phone (208) 772-7864.Contact Information
Primary practice address
161 W Prairie Shopping Ctr
Hayden ID 83835-9853
Phone: (208) 772-7864
Fax: (208) 772-7905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P5213 | Idaho |
Profile Details
| NPI number | 1639373921 |
|---|---|
| LBN Legal business name | Lyons, Mary Jo Jo |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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