Individual
GRAYSON T KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 249-1960
Mailing address
4221 S MONTGOMERY LN, NAMPA, ID 83686-7967
(208) 249-1960
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8840
ID
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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