Individual
LAURA PRADO NEGRETE
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) 381-4353
Mailing address
254 S 500 W, JEROME, ID 83338-6023
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10734
ID
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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