Individual
NATALIE ANN MALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7020 W STATE ST, BOISE, ID 83714-7419
(208) 853-3503
Mailing address
7020 W STATE ST, BOISE, ID 83714-7419
(208) 853-3503
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8904
ID
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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