Individual
MICHELLE WILKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 249-1420
Mailing address
1011 W BOONE AVE, NAMPA, ID 83651-1810
(208) 249-1420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7563
ID
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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