IndividualActive
Judith Councell
NPI 1265084412 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Boise, ID
Provider details
- NPI number
- 1265084412
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 28782 (NC)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
500 W Fort St
Boise, ID 83702-4501
Phone: (208) 422-1000
Approximate (ZIP-level) locationGet directions
Mailing address
500 W Fort St
Boise, ID 83702-4501
Registry dates
- Enumerated
- 2019-07-09
- Last updated
- 2026-03-17
- Certified
- 2026-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.