Individual
KYLE THOMAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2971 E COPPER POINT DR STE 125, MERIDIAN, ID 83642-9277
(208) 999-0541
Mailing address
2971 E COPPER POINT DR STE 125, MERIDIAN, ID 83642-9277
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14013445-1701
UT
183500000X
Pharmacist
19351
NV
183500000X
Pharmacist
23822
AZ
183500000X
Pharmacist
Primary
P9930
ID
Other
Enumeration date
09/15/2017
Last updated
01/28/2026
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