Massara K Polus, PHARMACIST

NPI #1164135224 in Boise, Idaho

Provider Information

NPI Number: 1164135224
Entity Type: Individual
Name: Massara K Polus, PHARMACIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMACIST
Enumeration Date: Jan 3, 2023
Last Updated: Jan 3, 2023

Practice Location

Address: 999 N CURTIS RD STE 102
City: Boise
State: Idaho
ZIP Code: 83706-1331
Phone: (208) 367-2167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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