Provider Demographics
NPI:1063823052
Name:STUERMER, AIMEE (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:STUERMER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6452 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BONNERS FERRY
Mailing Address - State:ID
Mailing Address - Zip Code:83805-8520
Mailing Address - Country:US
Mailing Address - Phone:208-267-4021
Mailing Address - Fax:208-267-4021
Practice Address - Street 1:6452 MAIN ST
Practice Address - Street 2:
Practice Address - City:BONNERS FERRY
Practice Address - State:ID
Practice Address - Zip Code:83805-8520
Practice Address - Country:US
Practice Address - Phone:208-267-4021
Practice Address - Fax:208-267-4021
Is Sole Proprietor?:No
Enumeration Date:2014-05-13
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID6654183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist