MONA FOUAD KHASHAN

BOISE, ID
NPI1568909794
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: GA  RPH027989)
Additional Taxonomies183500000X Pharmacist
(Licence: ID  P7361)
Enumeration Date2017-01-26
Last Update Date2017-01-26
Business Address
-- MONA FOUAD KHASHAN
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-831-2490
Mailing Address
-- MONA FOUAD KHASHAN
11267 W MORELA DR
BOISE, ID 83709-7096
Phone number: 770-597-3730