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NPI Code Detail

MEDICARE: IANITZA BANKOVA PHARMD

MEDICARE: IANITZA BANKOVA PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P2201XAmbulatory Care PharmacistP7799ID

General Provider Information

NPI Number : 1720500721
Entity Type Code : Individual
Provider Name (Legal Business Name) : IANITZA BANKOVA PHARMD
Provider Business Mailing Address
First Line : 500 W FORT ST
Second Line :
City : BOISE
State : ID
Zip : 83702-4501
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 W FORT ST
Second Line :
City : BOISE
State : ID
Zip : 83702-4501
Country : US
Telephone Number : 208-422-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2017
Last Update Date : 03/13/2026

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Directions to “ IANITZA BANKOVA PHARMD” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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