Individual
KYLE ALLEN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
335 W APPLEWAY AVE, COEUR D ALENE, ID 83814-9306
(208) 765-1254
(208) 765-1303
Mailing address
335 W APPLEWAY AVE, COEUR D ALENE, ID 83814-9306
(208) 765-1254
(208) 765-1303
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60653905
WA
Other
Enumeration date
08/02/2016
Last updated
04/12/2023
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