Whitney, Tara

Whitney, Tara is an sole proprietor health care provider with primary practice located at 528 N Main St , Mountain Home ID 83647-2117. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Whitney, Tara can be contacted via phone (208) 587-3364.

Contact Information

Primary practice address
528 N Main St Mountain Home ID 83647-2117
Phone: (208) 587-3364
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P6207 Idaho

Profile Details

NPI number 1053607234
LBN Legal business name Whitney, Tara
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2011
Last updated Jun 25th, 2011 - about 15 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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