Individual
MR. KIMBERLY GARY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
44 N 1ST E, PHARMACY, PRESTON, ID 83263-1326
(208) 852-4129
(208) 852-3812
Mailing address
44 N 1ST E, PHARMACY, PRESTON, ID 83263-1326
(208) 852-4129
(208) 852-3812
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4491
ID
183500000X
Pharmacist
RPH 43613
CA
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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