KRISTOFER KELLY- JAMES LARK

BOISE, ID
NPI1538519749
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P7518)
Enumeration Date2016-06-18
Last Update Date2016-06-18
Business Address
-- KRISTOFER KELLY- JAMES LARK PharmD
4709 W KENDALL ST
BOISE, ID 83706-2224
Phone number: 208-713-7948
Mailing Address
-- KRISTOFER KELLY- JAMES LARK PharmD
4709 W KENDALL ST
BOISE, ID 83706-2224
Phone number: 208-713-7948
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