Individual
ELIZABETH LAUREN HINCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
5871 S MANZANITA WAY, BOISE, ID 83709
(307) 272-4268
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5761277
ID
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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