Provider Demographics
NPI:1063411007
Name:JUE, SANDRA GEE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:GEE
Last Name:JUE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5720 PLANTATION LN
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83703-2628
Mailing Address - Country:US
Mailing Address - Phone:208-853-5825
Mailing Address - Fax:
Practice Address - Street 1:500 W FORT ST
Practice Address - Street 2:BLDG 44A
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-4501
Practice Address - Country:US
Practice Address - Phone:208-422-1000
Practice Address - Fax:208-422-1147
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV05875183500000X
CA27993183500000X
IDP38301835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy