NPI 1003003062

Fatima Walizada

Practitioner Pharmacist Boise, ID

Practice location

Address: 5005 W Overland Rd, Boise, ID 83705-2633
Phone: (208) 389-1448

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence P6086 (ID)

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Registry record

NPI: 1003003062
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Oct 2007
Record last updated: 3 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.