Individual
SARAH ELLANA COLWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH., PHARM.D.
Contact information
Practice address
2619 W FAIRVIEW AVE, BOISE, ID 83702-6722
(208) 706-2676
Mailing address
3654 N PRICE WAY, MERIDIAN, ID 83646-2747
(520) 220-8962
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022091
AZ
Other
Enumeration date
08/19/2016
Last updated
02/29/2024
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