Individual
KRISTI THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1310 POMERELLE AVE, BURLEY, ID 83318-2048
(208) 878-7455
Mailing address
17 E 335 S, BURLEY, ID 83318-5752
(208) 430-4379
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
4794555-1701
UT
183500000X
Pharmacist
Primary
P5673
ID
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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