TIA BLOOM

BOISE, ID
NPI1912253378
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P6671)
Additional Taxonomies183500000X Pharmacist
(Licence: OR  RPH-0013184)
Enumeration Date2012-08-02
Last Update Date2012-08-02
Business Address
-- TIA BLOOM PharmD
660 E BOISE AVE
BOISE, ID 83706-5118
Phone number: 208-336-8340
Mailing Address
-- TIA BLOOM PharmD
10318 W ARDYCE ST
BOISE, ID 83704-5309
Phone number: 208-604-1609