Individual
DR. CHRISTINA BERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
150 N 200 W, MALAD CITY, ID 83252-1239
(208) 766-2231
(208) 766-4819
Mailing address
150 N 200 W, MALAD CITY, ID 83252-1239
(208) 766-2231
(208) 766-4819
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7290
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P7290
IDAHO BOARD OF PHARMACY
ID
Enumeration date
12/26/2019
Last updated
12/26/2019
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