Organization
SAVON PHARMACY
Active
Other names
New Albertsons formerly Supervalu
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA ZELICKOWSKI PHARMD (PHARMACIST)
(208) 830-2453
Entity
Organization
Contact information
Practice address
1653 S VISTA AVE, PHARMACY, BOISE, ID 83705-3172
(208) 331-3007
Mailing address
660 S CLEARWATER LN APT 102, BOISE, ID 83712-7746
(208) 830-2453
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
17649
NV
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
P6676
ID
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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