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Individual

KARLA QUIA-PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
800 YELLOWSTONE AVE, POCATELLO, ID 83201-4433
(208) 239-4033
(208) 239-4027
Mailing address
800 YELLOWSTONE AVE, POCATELLO, ID 83201-4433
(208) 239-4033
(208) 239-4027

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
P6101
ID
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
P6101
ID

Other

Enumeration date
01/10/2012
Last updated
01/31/2020
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