Individual
JESSICA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6481409
ID
Other
Enumeration date
07/09/2026
Last updated
07/10/2026
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