Mackenzie, Debra

Mackenzie, Debra is an individual health care provider with primary practice located at 190 E Bannock St , Boise ID 83712-6241. She recently has only one registered license in Pharmacy Service Providers / Pediatrics, which is considered as her primary health care specialty. Mackenzie, Debra can be contacted via phone (208) 381-5026.

Contact Information

Primary practice address
190 E Bannock St Boise ID 83712-6241
Phone: (208) 381-5026
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pediatrics 1835P0200X P5366 Idaho

Profile Details

NPI number 1467091322
LBN Legal business name Mackenzie, Debra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 24th, 2019
Last updated Dec 24th, 2019 - about 7 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.

Request for update

Popular Providers