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Dr. Jeffrey Koudelka, PHARMD
Pharmacist in Gooding, Idaho
NPI 1699177527

Jeffrey Koudelka is a Pharmacist based in Gooding, ID. Jeffrey Koudelka practices in Gooding, ID and has the professional credentials of PHARMD. The NPI Number for Jeffrey Koudelka is 1699177527 and holds a License No. P5033 (Idaho).

The current practice location address for Jeffrey Koudelka is 1427 Main St, Gooding, ID and can be reached out via phone at 208-934-4709 and via fax at 208-934-4905. You can also correspond with Jeffrey Koudelka through the mailing address at 1427 MAIN ST, GOODING, ID - 83330-1838 (mailing address contact number: 208-934-4709).

Location: 1427 Main St, Gooding, ID, 83330-1838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699177527
Provider Name
Jeffrey Koudelka
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
1427 Main St, Gooding, ID, 83330-1838
Phone Number
208-934-4709
Fax Number
208-934-4905
Provider Enumeration Date
09/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1427 Main St
City
Gooding
State
Idaho
Zip
83330-1838
Phone Number
208-934-4709
Fax Number
208-934-4905
person
Provider Business Mailing Address Details
Address
1427 Main St
City
Gooding
State
Idaho
Zip
83330-1838
Phone Number
208-934-4709
Fax Number
208-934-4905
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
P5033 (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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