Individual
DR. FRANCES ANNA MAE BACONGUIS DYSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6565 W EMERALD ST, BOISE, ID 83704-8737
(208) 514-2512
(208) 514-2513
Mailing address
6565 W EMERALD ST, BOISE, ID 83704-8737
(208) 514-2512
(208) 514-2513
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6136
ID
183500000X
Pharmacist
Primary
PR5158
ME
1835P2201X
Ambulatory Care Pharmacist
P6136
ID
1835P2201X
Ambulatory Care Pharmacist
PR5158
ME
Other
Enumeration date
12/17/2018
Last updated
05/28/2026
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