Individual
REBEKAH GRIGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1520 N COLE RD, BOISE, ID 83704-8563
(208) 375-8278
Mailing address
5148 W BAINBRIDGE DR, BOISE, ID 83703-3418
(208) 369-0260
(208) 321-9241
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6184
ID
Other
Enumeration date
08/29/2010
Last updated
12/09/2022
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