Individual
CHANEY M BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
802 E MEDICAL CT, POST FALLS, ID 83854-7298
(208) 773-3566
Mailing address
802 E MEDICAL CT, POST FALLS, ID 83854-7298
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8380
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P8380
STATE LICENCE
ID
Enumeration date
07/08/2019
Last updated
07/08/2019
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