Individual
KAYSIE M MURDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6565 W EMERALD ST, BOISE, ID 83704-8737
(208) 514-2512
(208) 375-2217
Mailing address
6565 W EMERALD ST, BOISE, ID 83704-8737
(208) 514-2512
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8560
ID
390200000X
Student in an Organized Health Care Education/Training Program
E38936
ID
Other
Enumeration date
09/05/2019
Last updated
10/01/2019
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