Individual
LAUREN DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2887 S ABBS LN, BOISE, ID 83705-4197
(509) 432-3085
Mailing address
2887 S ABBS LN, BOISE, ID 83705-4197
(509) 432-3085
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I45408
ID
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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