Carol M Cornelius, PHARMD, RPH

NPI #1114219888 in Boise, Idaho

Provider Information

NPI Number: 1114219888
Entity Type: Individual
Name: Carol M Cornelius, PHARMD, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD, RPH
Enumeration Date: May 12, 2011
Last Updated: May 12, 2011

Practice Location

Address: 420 S ORCHARD ST
City: Boise
State: Idaho
ZIP Code: 83705-1238
Phone: (208) 947-0967

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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