Individual
GLENDA MARIE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
223 16TH AVE N, NAMPA, ID 83687-4058
(208) 318-1316
Mailing address
400 SHOSHONE ST, BOISE, ID 83705-1660
(208) 921-3588
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
P5693
ID
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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