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Individual

LINDSAY M BLACK

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) 599-1441
Mailing address
7085 S EAGLE RD, MERIDIAN, ID 83642-7217
(208) 599-1441
(208) 887-1860

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
P6176
ID

Other

Enumeration date
06/29/2008
Last updated
07/21/2008
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