Organization
PKHW LLC
Active
Other names
Peachy-Keen Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADISON ELIZABETH PEACH-KEEN PHARMD (OWNER)
(208) 203-1355
Entity
Organization
Contact information
Practice address
3715 E OVERLAND RD STE 115, MERIDIAN, ID 83642-8301
(208) 203-1355
(208) 203-7800
Mailing address
3715 E OVERLAND RD STE 115, MERIDIAN, ID 83642-8301
(208) 203-1355
(208) 203-7800
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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