Individual
ELEANOR I EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
5005 W OVERLAND RD, BOISE, ID 83705-2633
(208) 389-1448
(208) 389-1458
Mailing address
5005 W OVERLAND RD, BOISE, ID 83705-2633
(208) 389-1448
(208) 389-1458
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4040
ID
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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