Individual
JODI LYNN BROYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4850 N LINDER RD, MERIDIAN, ID 83646-6159
(208) 319-0047
Mailing address
4850 N LINDER RD, MERIDIAN, ID 83646-6159
(208) 319-0047
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8459
ID
Other
Enumeration date
07/19/2019
Last updated
08/26/2021
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