Individual
KIMBERLY MCGILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2141 W AIRPORT WAY # 700, BOISE, ID 83705-5168
(844) 515-2400
(877) 627-6093
Mailing address
2141 W AIRPORT WAY # 700, BOISE, ID 83705-5168
(844) 515-2400
(877) 627-6093
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1861961
ID
1835P2201X
Ambulatory Care Pharmacist
Primary
1861961
ID
208U00000X
Clinical Pharmacology Physician
Primary
1861961
ID
Other
Enumeration date
07/11/2024
Last updated
05/04/2026
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