Individual
AKIKO CHRISTINE ENDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5252
Mailing address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5255
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7064
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P7064
IDAHO STATE BOARD OF PHARMACY
ID
Enumeration date
08/02/2014
Last updated
01/06/2020
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