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Kirsten Hansen Blair, RPh

Pharmacist in Chubbuck, ID. Individual provider (NPI-1).

NPI number1912424375
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1912424375
Entity type
Individual (NPI-1)
Name
Kirsten Hansen Blair
Credential
RPh
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 26, 2017
Last updated
Mar 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistP7796IDYes

Practice location

4215 Yellowstone Ave
Chubbuck, ID 83202-2419

Phone 208-237-6828

Mailing address

4215 Yellowstone
Chubbuck, ID 83202

Other practice locations

305 W Quinn Rd
Pocatello, ID 83201-4988

Phone 208-238-4049

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