Individual
ANTHONY HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1515 W STATE ST, BOISE, ID 83702-4039
(208) 345-7684
Mailing address
243 N WHITEWATER PARK BLVD # 308, BOISE, ID 83702-5659
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7058
ID
Other
Enumeration date
08/02/2014
Last updated
08/02/2014
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