Individual
NICKLAS A SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10700 W USTICK RD, BOISE, ID 83713-5103
(208) 322-7788
Mailing address
14431 W SEDONA DR, BOISE, ID 83713-0964
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I75812
ID
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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