Individual
DR. KARLEEN L LYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3250 E 17TH ST, AMMON, ID 83406-6758
(208) 552-7677
Mailing address
294 N 4460 E, RIGBY, ID 83442
(208) 538-7811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6188
ID
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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