Individual
MACKENZIE KLIPSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(307) 631-0251
Mailing address
3250 KLIPSTEIN RD, CHEYENNE, WY 82009-9311
(307) 631-0251
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10806
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2023
Last updated
07/27/2023
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