Individual
AARA CANLAS HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-4733
Mailing address
1330 S DIVISION AVE, BOISE, ID 83706-6202
(703) 343-6736
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8469
ID
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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