Individual
MICHELLE CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5255
Mailing address
12423 W EDNA DR, BOISE, ID 83713-1954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6821
ID
Other
Enumeration date
08/20/2014
Last updated
01/10/2020
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