Provider Demographics
NPI:1407078157
Name:HUNTSINGER, LONNIE K (PHARM-D)
Entity Type:Individual
Prefix:DR
First Name:LONNIE
Middle Name:K
Last Name:HUNTSINGER
Suffix:
Gender:M
Credentials:PHARM-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 861
Mailing Address - Street 2:
Mailing Address - City:DONNELLY
Mailing Address - State:ID
Mailing Address - Zip Code:83615-0861
Mailing Address - Country:US
Mailing Address - Phone:208-325-3416
Mailing Address - Fax:
Practice Address - Street 1:451 DEINHARD LN
Practice Address - Street 2:
Practice Address - City:MCCALL
Practice Address - State:ID
Practice Address - Zip Code:83638-4800
Practice Address - Country:US
Practice Address - Phone:208-634-4929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP5586183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist