Individual
MARISSA HARLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E IDAHO ST, BOISE, ID 83712-6223
(208) 381-4025
Mailing address
3772 S CADDIS PL, BOISE, ID 83716-5083
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2081411
ID
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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