KENNETH DIRK

BOISE, ID
NPI1447478151
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P5175)
Enumeration Date2007-04-20
Last Update Date2007-07-08
Business Address
DR. KENNETH DIRK PHARMD,MBA
1219 BROADWAY AVE
BOISE, ID 83706-3701
Phone number: 208-433-9905
Mailing Address
DR. KENNETH DIRK PHARMD,MBA
4636 E NARCISSUS CT
BOISE, ID 83716-7002
Phone number: 208-433-8721
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