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Individual

BRIEANA GOODS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 706-5850
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8899
ID

Other

Enumeration date
05/28/2024
Last updated
05/28/2024
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