Audra Wilson, PHARMD - Pharmacist in Boise, ID

Audra Wilson, PHARMD is a Pharmacist based in Boise, Idaho. Audra Wilson is licensed to practice in Colorado (license number 0021851) and her current practice location is 500 W Fort St, Boise, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 422-1000.

NPI number for Audra Wilson is 1104322460 and her current mailing address is 500 W Fort St, Boise, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104322460.

Contact Information

Audra Wilson, PHARMD
500 W Fort St,
Boise, ID 83702-4501
(208) 422-1000
Not Available

Healthcare Provider's Profile

Full NameAudra Wilson
GenderFemale
SpecialityPharmacist
Location500 W Fort St, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104322460
  • Provider Enumeration Date: 04/04/2018
  • Last Update Date: 04/04/2018

Medical Identifiers

Medical identifiers for Audra Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104322460NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 0021851 (Colorado)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Audra Wilson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Audra Wilson, PHARMD
500 W Fort St,
Boise, ID 83702-4501

Ph: () -
Audra Wilson, PHARMD
500 W Fort St,
Boise, ID 83702-4501

Ph: (208) 422-1000

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› Verified 2 days ago


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