Provider Demographics
NPI:1699393066
Name:VIERNES, FLOR
Entity Type:Individual
Prefix:
First Name:FLOR
Middle Name:
Last Name:VIERNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 E SELTICE WAY
Mailing Address - Street 2:
Mailing Address - City:POST FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83854-8674
Mailing Address - Country:US
Mailing Address - Phone:208-777-4071
Mailing Address - Fax:208-773-0913
Practice Address - Street 1:706 E SELTICE WAY
Practice Address - Street 2:
Practice Address - City:POST FALLS
Practice Address - State:ID
Practice Address - Zip Code:83854-8674
Practice Address - Country:US
Practice Address - Phone:208-777-4071
Practice Address - Fax:208-773-0913
Is Sole Proprietor?:No
Enumeration Date:2020-07-11
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician