Individual
DORA ANEXI AGUAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
Mailing address
1535 W DAKOTA LOOP, NAMPA, ID 83686-9701
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10091
ID
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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