Individual provider · Type 1 NPI

Peter Mgonja

Pharmacist · Boise, ID

NPI number 1346549334 Active

Practice location

3527 S Federal Way
Boise, ID 83705-5204

Call (208) 424-7533 Map

Fax (208) 424-7527

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP5935 (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 1346549334

Peter Mgonja's National Provider Identifier is 1346549334, issued on Mar 16, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Boise, ID. The record was last updated on Mar 16, 2011.