Individual provider · Type 1 NPI

Sandy Dervisevic

Pharmacist · Boise, ID

NPI number 1326721606 Active

Practice location

8300 W Overland Rd
Boise, ID 83709-1639

Mailing address

6082 S Tallowtree Way
Boise, ID 83716-6966

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP10821 (ID)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1326721606

Sandy Dervisevic's National Provider Identifier is 1326721606, issued on Aug 11, 2023. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Boise, ID. The record was last updated on Aug 11, 2023.