Individual
MARINA A IZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
56 KING CHARLES DR, PORTSMOUTH, RI 02871-1360
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR68689
ME
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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