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Search › Idaho › 183500000X

Melissa Herzog, PHARMD

NPI 1396000121 · on the registry since 2012 · sole proprietor

Practice

Address
4215 Yellowstone Ave
Chubbuck, ID 83202
Phone
(208) 237-6828
Organisation at this address
Shopko Stores Operating Co Llc
Shopko Stores Operating Co. Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho