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Individual

DR. REBECCA J SMITH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
10464 GARVERDALE CT, STE 706, BOISE, ID 83704-5410
(208) 323-1259
Mailing address
2700 GOURLEY ST, BOISE, ID 83705-4020
(208) 484-7255

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
P5362
ID
1835P1200X
Pharmacotherapy Pharmacist
Primary
P5362
ID

Other

Enumeration date
10/13/2005
Last updated
09/11/2025
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