Individual
DR. STACEY KRISTEN BOUDREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3850 DUTHIE BLVD, LEWISTON, ID 83501-7045
(303) 550-5189
Mailing address
3850 DUTHIE BLVD, LEWISTON, ID 83501-7045
(303) 550-5189
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7143
ID
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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