Individual
TUSHIA PHILICIA PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
3469 N WHISTLER LN APT 103, BOISE, ID 83703-6228
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61866
CA
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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