Individual
LISA CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3233 N COLE RD, BOISE, ID 83704-4402
(208) 501-7032
(208) 501-7026
Mailing address
3233 N COLE RD, BOISE, ID 83704-4402
(208) 501-7032
(208) 501-7026
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6204
ID
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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