Individual
DR. IAN BOROVATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3395 S. FEDERAL WAY, BOISE, ID 83705-8844
(208) 319-1043
Mailing address
3395 S. FEDERAL WAY, BOISE, ID 83705-8844
(208) 319-1043
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5737114-1701
UT
183500000X
Pharmacist
Primary
P6894
ID
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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