Individual
MRS. DANETTE MARIE GRIGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1276 W RIVER ST, SUITE 138, BOISE, ID 83702-7066
(208) 576-4500
(208) 488-6646
Mailing address
1276 W RIVER ST, SUITE 138, BOISE, ID 83702-7066
(208) 576-4500
(208) 488-6646
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5301
ID
Other
Enumeration date
09/13/2010
Last updated
04/03/2017
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