Dr. Michelle Marie Sugden, PharmD
Pharmacist in Boise, ID. Individual provider (NPI-1).
NPI number1669998985
StatusActive
Last updated in NPPESAug 17, 2017
Details
- NPI
- 1669998985
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michelle Marie Sugden
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2017
- Last updated
- Aug 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | P7849 | ID | Yes |
Other names
- Michelle Marie Perez (Former Name)
Practice location
1219 S Broadway AveBoise, ID 83706-3701
Phone 208-336-5278
Mailing address
6674 W Irving St Apt 202Boise, ID 83704-8697
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