Individual
DR. KEELY GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
215 E HAWAII AVE STE 100, NAMPA, ID 83686
(208) 466-7823
Mailing address
215 E HAWAII AVE STE 100, NAMPA, ID 83686-6011
(208) 466-7823
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
8112711-1701
UT
183500000X
Pharmacist
Primary
P4965
ID
Other
Enumeration date
02/27/2012
Last updated
09/01/2021
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