Dr. Kimberly Isaacs, PharmD
Pharmacist in Boise, ID. Individual provider (NPI-1).
NPI number1689441024
StatusActive
Last updated in NPPESDec 6, 2023
Details
- NPI
- 1689441024
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kimberly Isaacs
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 6, 2023
- Certification date
- Dec 6, 2023
- Last updated
- Dec 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | P9953 | ID | Yes |
| 183500000X | Pharmacist | RPH-0018439 | OR |
Practice location
190 E Bannock StBoise, ID 83712-6241
Phone 208-381-4210
Mailing address
190 E Bannock StBoise, ID 83712-6241
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