IndividualActive
Amanda Sample, PHARM.D.
NPI 1891195137 · Pharmacist · Boise, ID
Provider details
- NPI number
- 1891195137
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- P7083 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
10580 W Ustick Rd
Store #5184
Boise, ID 83704-5267
Phone: (208) 377-3581
Approximate (ZIP-level) locationGet directions
Mailing address
10580 W Ustick Rd
Boise, ID 83704-5267
Registry dates
- Enumerated
- 2014-08-22
- Last updated
- 2014-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.