Individual
DION JANET MALLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1198
Mailing address
2204 E SKIPPERLING LN, BOISE, ID 83706-6142
(208) 331-8410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4575
ID
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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