Individual
MICHELLE ANNE MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-6273
Mailing address
2628 N 36TH ST, BOISE, ID 83703-4802
(208) 390-6918
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6695
ID
Other
Enumeration date
07/05/2012
Last updated
01/16/2024
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