Search › Idaho › Pharmacist
Peter Mgonja
NPI 1346549334 · on the registry since 2011
Practice
- Address
- 3527 S Federal Way
Boise, ID 83705 - Phone
- (208) 424-7533
- Fax
- (208) 424-7527
- Organisation at this address
- Fred Meyer Stores Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-03-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho