Organization
WALGREENS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENELL PAWER (MANGER)
(208) 353-8026
Entity
Organization
Contact information
Practice address
10580 W USTICK RD, BOISE, ID 83704-5267
(208) 377-3581
Mailing address
10580 W USTICK RD, BOISE, ID 83704-5267
(208) 377-3581
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
PP7517
ID
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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