Individual
EIZABETH A KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
708 EAST SELTICE WAY, POST FALLS, ID 83854
(208) 777-4071
(208) 773-0913
Mailing address
708 EAST SELTICE WAY, POST FALLS, ID 83854
(208) 777-4071
(208) 773-0913
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18591
CO
183500000X
Pharmacist
Primary
PH00055898
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18591
LICENSE
CO
01
—
PH00055898
LICENSE
WA
Enumeration date
09/19/2013
Last updated
09/19/2013
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