| Mr Thomas Vanderholm, PHARMD | |
|
5453 Highway 2, Priest River, ID 83856 | |
| (208) 448-1633 | |
| Not Available |
| Full Name | Mr Thomas Vanderholm |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 5453 Highway 2, Priest River, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780170480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | P8050 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas Vanderholm, PHARMD 5453 Hwy 2, Priest River, ID 83856 Ph: (208) 448-1633 | Mr Thomas Vanderholm, PHARMD 5453 Highway 2, Priest River, ID 83856 Ph: (208) 448-1633 |
Richard Allan De Blaquiere, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 5453 Highway 2, Priest River, ID 83856 Phone: 208-448-1633 Fax: 208-448-1728 | |
Elizabeth Halcro, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 5453 Hwy 2, Priest River, ID 83856 Phone: 208-448-1633 | |
Ms. Patricia A De Blaquiere Sudick, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1817 Riverside Rd., Priest River, ID 83856 Phone: 208-448-2407 Fax: 208-448-0344 | |
Jill Willett, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 5453 Us Hwy 2, Priest River, ID 83856 Phone: 208-448-1633 | |
Gary Alfred Deblaquiere, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1222 Albeni Hwy, Priest River, ID 83856 Phone: 208-448-1633 Fax: 208-448-1728 |