AUDRA SANDOVAL

BOISE, ID
NPI1104322460
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: ID  P10560)
Additional Taxonomies183500000X Pharmacist
(Licence: CO  0021851)
Enumeration Date2018-04-04
Last Update Date2025-01-28
Business Address
AUDRA SANDOVAL PharmD, BCPS, MSCP
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
Mailing Address
AUDRA SANDOVAL PharmD, BCPS, MSCP
500 W FORT ST
BOISE, ID 83702-4501
Phone number: