Gwen Broyles, RPH - Pharmacist in Boise, ID

Gwen Broyles, RPH is a Pharmacist based in Boise, Idaho. Gwen Broyles is licensed to practice in Idaho (license number P3959) and her current practice location is 3614 W State St, Boise, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 426-9639.

NPI number for Gwen Broyles is 1184911281 and her current mailing address is 3614 W State St, Boise, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184911281.

Contact Information

Gwen Broyles, RPH
3614 W State St,
Boise, ID 83703-5218
(208) 426-9639
Not Available

Healthcare Provider's Profile

Full NameGwen Broyles
GenderFemale
SpecialityPharmacist
Location3614 W State St, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184911281
  • Provider Enumeration Date: 07/09/2011
  • Last Update Date: 07/09/2011

Medical Identifiers

Medical identifiers for Gwen Broyles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184911281NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist P3959 (Idaho)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. Gwen Broyles 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
Gwen Broyles, RPH
3614 W State St,
Boise, ID 83703-5218

Ph: (208) 426-9639
Gwen Broyles, RPH
3614 W State St,
Boise, ID 83703-5218

Ph: (208) 426-9639

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› Verified 2 days ago


Pharmacist in Boise, ID

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Phone: 208-389-1448    Fax: 208-389-1458
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