Individual
DR. KYLE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
10255 W OVERLAND RD, BOISE, ID 83709-1430
(208) 367-7205
Mailing address
888 E TALLINN ST, MERIDIAN, ID 83646-5955
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6886
ID
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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