Individual
MELISSA GILLEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1012 CLEVELAND BLVD, CALDWELL, ID 83605-3852
(208) 455-1792
(208) 459-2029
Mailing address
1323 S MAPLE GROVE RD, BOISE, ID 83709-1610
(208) 319-0967
(208) 319-0970
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7162
ID
183500000X
Pharmacist
PHA-PHA-LIC-25266
MT
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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