Individual
KRISTOPHER WENSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
(208) 205-7394
Mailing address
1207 N 12TH STREET, BOISE, ID 83702
(320) 290-1243
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7876
ID
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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