MRS. Kimberly Dawn Puckett, PHARMD

NPI #1700210085 in Ponderay, Idaho

Provider Information

NPI Number
1700210085
Entity Type
Individual
Name
MRS. Kimberly Dawn Puckett, PHARMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
PHARMD
Enumeration Date
Aug 22, 2013
Last Updated
Aug 22, 2013

Practice Location

Address
212 BONNER MALL WAY
State
Idaho
ZIP Code
83852-9748
Phone
(208) 255-8066

Specialties & Taxonomy Codes

Specialty
Pharmacist

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