Edward Walthall, PHARMD

NPI #1952040461 in Kuna, Idaho

Provider Information

NPI Number: 1952040461
Entity Type: Individual
Name: Edward Walthall, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jun 2, 2022
Last Updated: Jun 2, 2022

Practice Location

Address: 173 W 4TH ST
City: Kuna
State: Idaho
ZIP Code: 83634-2087
Phone: (208) 922-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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