SHANNON MARS

BOISE, ID
NPI1467773762
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P5922)
Additional Taxonomies183500000X Pharmacist
(Licence: OR  RPH-0011571)
Enumeration Date2010-06-21
Last Update Date2010-06-21
Business Address
-- SHANNON MARS Pharm.D.
660 E BOISE AVE
BOISE, ID 83706-5118
Phone number: 208-336-8340
Mailing Address
-- SHANNON MARS Pharm.D.
660 E BOISE AVE
BOISE, ID 83706-5118
Phone number: 208-336-8340