Individual
AMBER NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 E PARKCENTER BLVD, BOISE, ID 83706-6721
(208) 338-3722
Mailing address
833 W GETTYSBURG ST, BOISE, ID 83706-4641
(218) 478-4280
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6191
ID
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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