Individual
HEATHER HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10700 USTICK RD, BOISE, ID 83713-5103
(208) 322-7788
Mailing address
10700 USTICK RD, BOISE, ID 83713-5103
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7319
ID
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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