Individual
AMY UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1211 W MYRTLE ST, BOISE, ID 83702-6995
(866) 233-6564
(208) 395-7744
Mailing address
1211 W MYRTLE ST, BOISE, ID 83702-6995
(866) 233-6564
(208) 395-7744
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4919
ID
Other
Enumeration date
07/19/2010
Last updated
09/17/2013
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