Individual
MR. CHRISTOPHER L KOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10500 OVERLAND RD, BOISE, ID 83709-1435
(208) 376-1382
Mailing address
10500 OVERLAND RD, BOISE, ID 83709-1435
(208) 376-1382
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
9806
OR
183500000X
Pharmacist
Primary
P5781
ID
183500000X
Pharmacist
PH00042864
WA
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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