Travis Walthall, RPH

NPI #1144566894 in Kuna, Idaho

Provider Information

NPI Number: 1144566894
Entity Type: Individual
Name: Travis Walthall, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Dec 28, 2012
Last Updated: Dec 28, 2012

Practice Location

Address: 173 W 4TH ST
City: Kuna
State: Idaho
ZIP Code: 83634-2046
Phone: (208) 922-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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