Individual
DR. KEITH BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16700 N MARKET PLACE BLVD, NAMPA, ID 83687-7909
(208) 465-3809
Mailing address
2249 E CHEMISE DR, MERIDIAN, ID 83646-1574
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5865
ID
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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