Provider Demographics
NPI:1770847899
Name:ASLETT, DARCY ANN THIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DARCY
Middle Name:ANN THIE
Last Name:ASLETT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:DARCY
Other - Middle Name:ANN
Other - Last Name:THIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4926 S WILDBROOK WAY
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83709-5279
Mailing Address - Country:US
Mailing Address - Phone:208-921-1331
Mailing Address - Fax:
Practice Address - Street 1:415 CLEVELAND BLVD
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:ID
Practice Address - Zip Code:83605-3627
Practice Address - Country:US
Practice Address - Phone:208-459-1756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP6684183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist