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Jaret Koudelka, PHARMD
Pharmacist in Idaho Falls, Idaho
NPI 1487331625

Jaret Koudelka is a Pharmacist based in Idaho Falls, ID. Jaret Koudelka practices in Idaho Falls, ID and has the professional credentials of PHARMD. The NPI Number for Jaret Koudelka is 1487331625 and holds a License No. P10716 (Idaho).

The current practice location address for Jaret Koudelka is 2325 Coronado St, Idaho Falls, ID and can be reached out via phone at 208-523-3360.

Location: 2325 Coronado St, Idaho Falls, ID, 83404-7407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487331625
Provider Name
Jaret Koudelka
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
2325 Coronado St, Idaho Falls, ID, 83404-7407
Phone Number
208-523-3360
Fax Number
Provider Enumeration Date
06/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2325 Coronado St
City
Idaho Falls
State
Idaho
Zip
83404-7407
Phone Number
208-523-3360
Fax Number
person
Provider Business Mailing Address Details
Address
2325 Coronado St
City
Idaho Falls
State
Idaho
Zip
83404-7407
Phone Number
208-523-3360
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
P10716 (Idaho)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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