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Alysa Tominaga, PHARMD — NPI 1174003305, Boise, ID | NPI Central

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NPI 1174003305

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Alysa Tominaga, PHARMD

NPI 1174003305 · Pharmacist · Boise, ID

Provider details

NPI number: 1174003305
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Female
Sole proprietor: Yes
License: P8100 (ID)

Specialties & taxonomies

PharmacistPrimary183500000XLicense P8100 (ID)
Pharmacy Service Providers

Practice location

1650 W State St

Boise, ID 83702-4040

Phone: (208) 344-8660

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

520 S Eagle Rd Ste 1000

Meridian, ID 83642-6353

Registry dates

Enumerated: 2018-08-16
Last updated: 2024-07-24
Certified: 2024-07-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.