Individual
SEAN WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
711 N CURTIS RD, BOISE, ID 83706-1445
(208) 605-3081
Mailing address
711 N CURTIS RD, BOISE, ID 83706-1445
(208) 605-3081
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6955
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P6955
IDAHO STATE BOARD OF PHARMACY
ID
Enumeration date
01/14/2015
Last updated
01/05/2025
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