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Organization

K HEFNER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER RAY JOHNSON PHARMD (PRESIDENT)
(208) 734-8177
Entity
Organization

Contact information

Practice address
1203 FILER AVE E, TWIN FALLS, ID 83301-4118
(208) 734-8177
(208) 734-8184
Mailing address
1203 FILER AVE E, TWIN FALLS, ID 83301-4118
(208) 734-8177
(208) 734-8184

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
05/09/2023
Last updated
05/11/2023
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