Individual
CAROLYN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10600 W FAIRVIEW AVE, BOISE, ID 83713-8065
(208) 322-0962
Mailing address
10600 W FAIRVIEW AVE, BOISE, ID 83713-8065
(208) 322-0962
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7076
ID
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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