Individual
CLAIRE COLGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4700 N EAGLE RD, BOISE, ID 83713-0744
(208) 939-5149
Mailing address
4700 N EAGLE RD, BOISE, ID 83713-0744
(208) 939-5149
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10130
ID
Other
Enumeration date
07/17/2022
Last updated
12/14/2023
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