Individual
ERIN DOUGLAS
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) 381-2490
Mailing address
4426 N ACCIPITER WAY, BOISE, ID 83703-7026
(520) 990-9298
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019935
AZ
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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