Individual
MCKAYLA BISBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
590 E 17TH ST, IDAHO FALLS, ID 83404-6154
(208) 523-1090
Mailing address
3021 SUNBURST DR, AMMON, ID 83406-6918
(208) 604-2324
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1261772
ID
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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