Individual
WENDOLYN MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
4724 W CROWLEY DR, MERIDIAN, ID 83646-6470
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P11315
ID
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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