Individual
LINDA MAINVIL-FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
805 W FRANKLIN ST, BOISE, ID 83702
(208) 493-2396
(208) 381-6340
Mailing address
PO BOX 1990, BOISE, ID 83701-1990
(208) 493-2396
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5348
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P5348
IDAHO STATE BOARD OF PHARMACY
ID
Enumeration date
09/01/2015
Last updated
05/22/2018
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