Individual
DR. KIMBERLY ISAACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-4210
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P9953
ID
183500000X
Pharmacist
RPH-0018439
OR
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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