IAN BOROVATZ

BOISE, ID
NPI1609202068
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P6894)
Additional Taxonomies183500000X Pharmacist
(Licence: UT  5737114-1701)
Enumeration Date2013-09-17
Last Update Date2013-09-17
Business Address
Dr. IAN BOROVATZ Pharm.D.
3395 S. FEDERAL WAY
BOISE, ID 83705-8844
Phone number: 208-319-1043
Mailing Address
Dr. IAN BOROVATZ Pharm.D.
3395 S. FEDERAL WAY
BOISE, ID 83705-8844
Phone number: 208-319-1043