Anderson, Lisa

Anderson, Lisa is an individual health care provider with primary practice located at 10751 W Overland Rd , Boise ID 83709-1375. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Anderson, Lisa can be contacted via phone (208) 373-5233.

Contact Information

Primary practice address
10751 W Overland Rd Boise ID 83709-1375
Phone: (208) 373-5233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P7268 Idaho

Profile Details

NPI number 1124400148
LBN Legal business name Anderson, Lisa
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2015
Last updated Jun 25th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124400148 NPPES
Idaho Other P7268 PHARMACIST LICENSE

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