Individual
MADISON MOTZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
(208) 205-7155
Mailing address
2642 N LAPIS AVE, MERIDIAN, ID 83646-1558
(208) 316-2068
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10142
ID
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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