Individual
MRS. INDRA LEIBOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
600 E BOISE AVE, BOISE, ID 83706
(208) 995-9760
Mailing address
4621 N SETTLERS RIDGE PL, BOISE, ID 83703-7013
(208) 995-9760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
42805
CA
183500000X
Pharmacist
Primary
P6335
ID
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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