Individual
GLENDA MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
16300 N MARKETPLACE BLVD, NAMPA, ID 83687-7910
(208) 465-6801
(208) 465-6811
Mailing address
16300 N MARKETPLACE BLVD, NAMPA, ID 83687-7910
(208) 465-6801
(208) 465-6811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-14975
KS
183500000X
Pharmacist
Primary
P10263
ID
Other
Enumeration date
10/12/2011
Last updated
03/05/2024
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