Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Audra Sandoval, PHARMD, BCPS, MSCP

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1104322460

Audra Sandoval, PHARMD, BCPS, MSCP is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Boise, Idaho. Practices as a sole proprietor. Licensed in Colorado and Idaho.

Licensed in
CO, ID
In the registry since
2018
Specialties on file
3
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.
BCPS — Board Certified Pharmacotherapy Specialist
A pharmacist with advanced certification in drug therapy.

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Practice location Address checks out

500 W Fort St
Boise, ID 83702-4501
Phone: (208) 422-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacotherapy Pharmacist (primary) Taxonomy 1835P1200X · Licence P10560 (ID)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Taxonomy 1835P0018X · Licence P10560 (ID)
Pharmacist Taxonomy 183500000X · Licence 0021851 (CO)

Record details

NPI number1104322460
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD , BCPS , MSCP
Sole proprietorYes
NPI enumeratedApril 4, 2018
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026

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