Individual
TAYLOR KUNZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
905 YELLOWSTONE AVE, POCATELLO, ID 83201-4416
(208) 233-2382
Mailing address
4135 RENO DR, POCATELLO, ID 83202-5086
(208) 317-6936
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9071146
ID
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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