Individual
MR. MICHAEL THOMAS MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
315 E ELM ST STE 150, CALDWELL, ID 83605-4864
(205) 459-1503
(208) 459-1504
Mailing address
315 E ELM ST STE 150, CALDWELL, ID 83605-4864
(205) 459-1503
(208) 459-1504
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5063
ID
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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