Individual
STEPHANIE WORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4924 OVERLAND RD, BOISE, ID 83705-2821
(208) 336-1728
Mailing address
2748 S PERRAULT WAY, BOISE, ID 83716
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
8876
AZ
183500000X
Pharmacist
Primary
P6532
ID
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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