Individual
NICHOLAS ZIVKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
16907 N THURGOOD LOOP, NAMPA, ID 83687-9164
(208) 230-0914
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10796
ID
Other
Enumeration date
06/14/2023
Last updated
01/06/2026
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