Individual
SARAH DESILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-1524
Mailing address
2791 S HONEYCOMB WAY, BOISE, ID 83716-5811
(208) 403-7432
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6674
ID
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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