Individual
PINPAKA MCCREADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-2121
Mailing address
305 N 17TH ST APT 307, BOISE, ID 83702-5152
(208) 918-6926
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CT46018
ID
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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