Individual
EMILY MIKAELA ELWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-1524
Mailing address
5301 W WATERWHEEL DR, BOISE, ID 83703-3131
(509) 679-8106
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
3155761
ID
Other
Enumeration date
12/14/2019
Last updated
12/14/2019
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