KENT L QUICKSTAD

BOISE, ID
NPI1699954081
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P4487)
Enumeration Date2007-11-01
Last Update Date2007-11-01
Business Address
Mr. KENT L QUICKSTAD RPh
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2490
Mailing Address
Mr. KENT L QUICKSTAD RPh
190 EAST BANNOCK ST LUKES REGIONAL MEDICAL CENTER
BOISE, ID 83712-6241
Phone number: 208-381-2490
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