Individual
ALYSSA BELTRAN LUPOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4696 W OVERLAND RD STE 274, BOISE, ID 83705-2877
(844) 926-2480
Mailing address
4696 W OVERLAND RD STE 274, BOISE, ID 83705-2877
(844) 926-2480
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
P9194
ID
183500000X
Pharmacist
Primary
RPH032326
GA
Other
Enumeration date
11/22/2020
Last updated
01/24/2022
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