Individual
DR. ROBERT S MANCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
100 E IDAHO ST, BOISE, ID 83712-6267
(208) 706-7209
(208) 381-7415
Mailing address
100 E IDAHO ST, BOISE, ID 83712-6267
(208) 706-7209
(208) 381-7415
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
P6175
ID
1835X0200X
Oncology Pharmacist
Primary
P6175
ID
Other
Enumeration date
02/18/2012
Last updated
02/18/2012
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