Individual
RACHEL ILLIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0016954
OR
183500000X
Pharmacist
Primary
1171647
ID
183500000X
Pharmacist
PHA.0023481
CO
Other
Enumeration date
02/19/2019
Last updated
01/07/2025
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