Individual
KYLIE CARBOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11801 W EXECUTIVE DR, BOISE, ID 83713-0803
(208) 205-7779
Mailing address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8082
ID
Other
Enumeration date
04/16/2021
Last updated
05/12/2023
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