Individual
JARET KOUDELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 523-3360
Mailing address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10716
ID
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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