Individual
DR. MICHELLE M FELDTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
3150 W CHERRY LN, MERIDIAN, ID 83642-1122
(208) 319-2312
(208) 319-2316
Mailing address
3150 W CHERRY LN, MERIDIAN, ID 83642-1122
(208) 319-2312
(208) 319-2316
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4984
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P4984
STATE BOARD OF PHARMACY
ID
Enumeration date
07/16/2007
Last updated
01/05/2023
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