Individual
MICHELA ALTERGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 E IDAHO ST, BOISE, ID 83712-6267
(208) 381-3108
Mailing address
6621 W HUMMEL DR, BOISE, ID 83709-2058
(970) 381-2717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0016338
OR
183500000X
Pharmacist
Primary
P7579
ID
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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