Individual
LIAM MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
9804 W ALLIANCE DR, BOISE, ID 83704-4000
(208) 954-0643
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6261177
ID
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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