Individual
ALEXIS WEISENBURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6560 S FEDERAL WAY, BOISE, ID 83716-9277
(208) 429-1084
Mailing address
537 E PARKCENTER BLVD APT 110, BOISE, ID 83706-6764
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10618
ID
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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