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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUDRA SANDOVAL, PHARMD, BCPS, MSCP

Active Sole Proprietor

AUDRA SANDOVAL, PHARMD, BCPS, MSCP is a Pharmacist Clinician (PhC) healthcare provider located in BOISE, Idaho. NPI 1104322460 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · BOISE, ID

Registration Details

NPI Number
1104322460
Provider Type
Individual
Gender
Female
NPI Issued
Apr 4, 2018 (8.3961587367676 yrs)
Last Updated
Jan 28, 2025
Licenses
0021851 (CO)
P10560 (ID)
Sole Proprietor
Yes

Practice Information

Address
500 W FORT ST
BOISE, ID, 837024501
Browse ID providers · Browse ZIP 83702
Phone
2084221000
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
Additional Specialty
Pharmacist Clinician (PhC)

Other Pharmacist Clinician (PhC) Providers in BOISE, ID

Name Credential NPI
MR. R. TERRY POST RPH 1326365768
BRIAN HILLE 1760794531
DR. DALE ANDREW RAMSAY PHARM.D 1164738381
ANGELA MCCAMISH PHARMACIST 1497054894
D KIRK PERRY 1720377617
MICHAEL WILLIAM LOVE RPH 1043500515
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.