IndividualActive
Stacy Diggs
NPI 1194686873 · Pharmacotherapy Pharmacist · Boise, ID
Provider details
- NPI number
- 1194686873
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- P6678 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1055 N Curtis Rd
Boise, ID 83706-1309
Phone: (208) 367-2772
Approximate (ZIP-level) locationGet directions
Mailing address
1921 N Justin Ave
Meridian, ID 83646-6517
Registry dates
- Enumerated
- 2025-11-20
- Last updated
- 2025-11-25
- Certified
- 2025-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.