Individual
JILL LANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2051 S COLE RD, BOISE, ID 83709-2815
(208) 323-8707
(208) 327-9577
Mailing address
2051 S COLE RD, BOISE, ID 83709-2815
(208) 323-8707
(208) 327-9577
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15141
NV
183500000X
Pharmacist
Primary
P5811
ID
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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