Individual
DR. AMY MGONJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8921 W HACKAMORE DR, BOISE, ID 83709-1673
(208) 994-4123
(800) 431-6309
Mailing address
8921 W HACKAMORE DR, BOISE, ID 83709-1673
(208) 994-4123
(800) 431-6309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5813
ID
1835G0303X
Geriatric Pharmacist
P5813
ID
Other
Enumeration date
11/10/2008
Last updated
12/23/2024
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