Individual
KEVIN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2790 W CHERRY LN STE 100, MERIDIAN, ID 83642-1102
(208) 288-1496
(208) 288-1496
Mailing address
2790 W CHERRY LN STE 100, MERIDIAN, ID 83642-1102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7776
ID
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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