Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Stacey Kristen Boudreaux, PHARMD

Individual provider Pharmacist · NPI 1457271512

Dr. Stacey Kristen Boudreaux, PHARMD is a Pharmacist in Lewiston, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2026
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

3850 Duthie Blvd
Lewiston, ID 83501-7045
Phone: (303) 550-5189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P7143 (ID)

Record details

NPI number1457271512
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedJuly 20, 2026
Last updated in NPPESJuly 20, 2026
Certification dateJuly 19, 2026

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