MIKAYLA CORNWALL

BOISE, ID
NPI1609462217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P9898)
Additional Taxonomies183500000X Pharmacist
(Licence: WA  PH61063607)
Enumeration Date2020-12-17
Last Update Date2024-08-21
Business Address
MIKAYLA CORNWALL PHARMD
190 E BANNOCK ST
BOISE, ID 83712
Phone number: 208-381-2222
Mailing Address
MIKAYLA CORNWALL PHARMD
190 E BANNOCK ST
BOISE, ID 83712
Phone number: 208-381-2222