Individual
MARKUS MELBARDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2513
Mailing address
1314 N 26TH ST, BOISE, ID 83702-2323
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10826
ID
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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