MEDICARE: DR. DARCY ANN THIE ASLETT PHARM.D.

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
1	183500000X	Pharmacist	P6684	ID

General Provider Information

NPI Number	:	1770847899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARCY ANN THIE ASLETT PHARM.D.

Provider Business Mailing Address
First Line	:	4926 S WILDBROOK WAY
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83709-5279
Country	:	US
Telephone Number	:	208-921-1331
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 CLEVELAND BLVD
Second Line	:
City	:	CALDWELL
State	:	ID
Zip	:	83605-3627
Country	:	US
Telephone Number	:	208-459-1756
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2012
Last Update Date	:	07/03/2012

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