SearchIdaho3336C0003X

Melodie Grady, PHARMD

NPI 1861889990 · on the registry since 2015 · sole proprietor

Practice

Address
2132 W Pullman Rd
Moscow, ID 83843
Phone
(208) 997-5082
Fax
(208) 207-2917

Additional practice sites

  • 1143 Bear Creek Rd, Princeton, ID

Registry record

Primary taxonomy
3336C0003X
3336C0003X
Also registered as
183500000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-04-22

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