Dr. Madison Elizabeth Peach-Keen, PharmD
Pharmacist in Meridian, ID. Individual provider (NPI-1).
NPI number1619719085
StatusActive
Last updated in NPPESJun 7, 2024
Details
- NPI
- 1619719085
- Entity type
- Individual (NPI-1)
- Name
- Dr. Madison Elizabeth Peach-Keen
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2024
- Certification date
- Jun 7, 2024
- Last updated
- Jun 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | P9223 | ID | Yes |
Practice location
3715 E Overland Rd Ste 115Meridian, ID 83642-8301
Phone 803-727-8659
Mailing address
3715 E Overland Rd Ste 115Meridian, ID 83642-8301
Phone 803-727-8659
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