Individual
ALEXANDRIA MARIE SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-4353
Mailing address
1622 S LOGGERS POND PL APT 14, BOISE, ID 83706-7503
(971) 533-9274
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P9011
ID
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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