Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SALLY ANN EKE HAGESTAD, RPH
Active Sole ProprietorMRS. SALLY ANN EKE HAGESTAD, RPH is a Pharmacist healthcare provider located in LENORE, Idaho. NPI 1184045791 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · LENORE, ID
Registration Details
- NPI Number
- 1184045791
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 27, 2013 (12.613135668827 yrs)
- Last Updated
- Dec 27, 2013
- License
-
P6090 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
34987 JACKS CANYON RDLENORE, ID, 835416264Browse ID providers · Browse ZIP 83541
- Phone
- 2088166770
- Primary Specialty
-
Pharmacist
183500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.