Stella Kwon

NPI #1063811248 in Meridian, Idaho

Provider Information

NPI Number: 1063811248
Entity Type: Individual
Name: Stella Kwon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 14, 2014
Last Updated: Aug 14, 2014

Practice Location

Address: 1625 S MERIDIAN RD
City: Meridian
State: Idaho
ZIP Code: 83642-9355
Phone: (208) 319-0606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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