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Individual

KEVIN ROBERT DENNY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
MISSION ROAD, FORT HALL, ID 83203
(208) 238-5429
Mailing address
358 ARABIAN AVE, POCATELLO, ID 83201-2085
(208) 237-1902

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5590
ID

Other

Enumeration date
08/10/2006
Last updated
07/08/2007
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