Individual
KRYSTAL SHOCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCIDP
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
P9702
ID
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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