Individual
TODD KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4051 E FAIRVIEW AVE, MERIDIAN, ID 83642-5801
(208) 373-0024
Mailing address
4051 E FAIRVIEW AVE, MERIDIAN, ID 83642-5801
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5654
ID
Other
Enumeration date
07/27/2014
Last updated
07/27/2014
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