IndividualActive
Amy Mgonja, PHARMD
NPI 1306090980 · Pharmacist · Boise, ID
Provider details
- NPI number
- 1306090980
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- P5813 (ID)
Practice location
8921 W Hackamore Dr
Boise, ID 83709-1673
Phone: (208) 994-4123
Fax: (800) 431-6309
Mailing address
8921 W Hackamore Dr
Boise, ID 83709-1673
Registry dates
- Enumerated
- 2008-11-10
- Last updated
- 2024-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.