Chandler Rieske
Pharmacist in Kuna, ID. Individual provider (NPI-1).
NPI number1245900307
StatusActive
Last updated in NPPESSep 20, 2021
Details
- NPI
- 1245900307
- Entity type
- Individual (NPI-1)
- Name
- Chandler Rieske
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2021
- Certification date
- Sep 20, 2021
- Last updated
- Sep 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | P9617 | ID | Yes |
Practice location
700 E Avalon StKuna, ID 83634-2140
Phone 208-922-9836
Mailing address
700 E Avalon StKuna, ID 83634-2140
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All 17 Pharmacist providers in Kuna · All 273 providers in Kuna
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