Maisie Trang
Pharmacist in Boise, ID. Individual provider (NPI-1).
NPI number1982125977
StatusActive
Last updated in NPPESJun 29, 2017
Details
- NPI
- 1982125977
- Entity type
- Individual (NPI-1)
- Name
- Maisie Trang
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2017
- Last updated
- Jun 29, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | P7783 | ID | Yes |
Practice location
500 W Fort StBoise, ID 83702-4501
Phone 208-422-1000
Mailing address
500 W Fort StBoise, ID 83702-4501
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