Individual
SHELBY MACLAUREN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20978
AL
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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