Individual
IAN KENNETH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3123 MEDICAL DR, CALDWELL, ID 83605-6972
(208) 367-3131
Mailing address
3123 MEDICAL DR, CALDWELL, ID 83605-6972
(208) 367-3131
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
P9239
ID
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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