Provider Demographics
NPI:1891082822
Name:PAXTON, MARGARET LYNN (RPH)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:LYNN
Last Name:PAXTON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5100 OVERLAND RD
Mailing Address - Street 2:SAVON PHARMACY #162
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83705-2634
Mailing Address - Country:US
Mailing Address - Phone:208-343-1696
Mailing Address - Fax:208-345-8448
Practice Address - Street 1:5100 OVERLAND RD
Practice Address - Street 2:SAVON PHARMACY #162
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83705-2634
Practice Address - Country:US
Practice Address - Phone:208-343-1696
Practice Address - Fax:208-345-8448
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP4202183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist