Healthcare Provider Details

I. General information

NPI: 1174284525
Provider Name (Legal Business Name): TONYA DARCY COLE RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2022
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5230 W FRANKLIN RD
BOISE ID
83705-1109
US

IV. Provider business mailing address

3001 S ROOSEVELT ST APT 18
BOISE ID
83705-4667
US

V. Phone/Fax

Practice location:
  • Phone: 208-429-6433
  • Fax: 208-429-6427
Mailing address:
  • Phone: 208-992-6006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberP9847
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: