Individual
BROOKE EWALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-2166
Mailing address
1079 S DALE ST APT 302, BOISE, ID 83706-7627
(406) 459-9358
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7408
ID
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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