Individual
DR. KATHY S EROSCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1109 BROADWAY AVE, BOISE, ID 83706-3626
(208) 947-0877
Mailing address
2356 E MCPHERSON ST, MERIDIAN, ID 83642-4798
(208) 610-8207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5737
ID
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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