Individual
ELISE KATHERINE COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2491
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10051
ID
Other
Enumeration date
08/15/2023
Last updated
10/13/2025
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