Individual
LOLA BOTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6565 W EMERALD ST, BOISE, ID 83704-8737
(208) 514-2512
(208) 514-2513
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I75748
ID
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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