Individual
ROSALBA LOERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10565 W LAKE HAZEL RD, BOISE, ID 83709-6326
(208) 319-0882
Mailing address
10565 W LAKE HAZEL RD, BOISE, ID 83709-6326
(208) 319-0882
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10941
ID
Other
Enumeration date
06/06/2019
Last updated
01/25/2024
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