-- JEFF JAUSORO --
Individual Provider (NPI-1)
Active
Pharmacist
Provider Information
- NPI Number
1891081790- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 528 N MAIN ST, MOUNTAIN HOME, ID, 836472117
- Phone
- (208) 587-3365
- Fax
- (208) 587-1545
Specialties & Taxonomies
Pharmacist
Primary License: ID #p5113