Kellye Schab

NPI #1912400078 in Caldwell, Idaho

Provider Information

NPI Number: 1912400078
Entity Type: Individual
Name: Kellye Schab
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Mar 15, 2018
Last Updated: Mar 15, 2018

Practice Location

Address: 315 E ELM ST STE 150
City: Caldwell
State: Idaho
ZIP Code: 83605-4864
Phone: (208) 459-1503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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