Individual
ROBERT W GEDDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
(208) 513-3470
Mailing address
4996 N BOTTICELLI AVE, MERIDIAN, ID 83646-6740
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6687
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P6687
IDAHO BOARD OF PHARMACY
—
Enumeration date
09/14/2012
Last updated
11/20/2019
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