Individual
MRS. CONSTANCE C CHRISTOFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2655 S BROADWAY AVE, BOISE, ID 83706-4721
(208) 345-8728
(208) 343-6591
Mailing address
2655 S BROADWAY AVE, BOISE, ID 83706-4721
(208) 345-8728
(208) 343-6591
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4169
ID
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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