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Mrs. Kimberly Dawn Puckett, PHARMD
Pharmacist in Ponderay, Idaho
NPI 1700210085

Kimberly Dawn Puckett is a Pharmacist based in Ponderay, ID. Kimberly Dawn Puckett practices in Ponderay, ID and has the professional credentials of PHARMD. The NPI Number for Kimberly Dawn Puckett is 1700210085 and holds a License No. P5173 (Idaho).

The current practice location address for Kimberly Dawn Puckett is 212 Bonner Mall Way, Ponderay, ID and can be reached out via phone at 208-255-8066 and via fax at 208-263-6623.

Location: 212 Bonner Mall Way, Ponderay, ID, 83852-9748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700210085
Provider Name
Kimberly Dawn Puckett
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
212 Bonner Mall Way, Ponderay, ID, 83852-9748
Phone Number
208-255-8066
Fax Number
208-263-6623
Provider Enumeration Date
08/22/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
212 Bonner Mall Way
City
Ponderay
State
Idaho
Zip
83852-9748
Phone Number
208-255-8066
Fax Number
208-263-6623
person
Provider Business Mailing Address Details
Address
212 Bonner Mall Way
City
Ponderay
State
Idaho
Zip
83852-9748
Phone Number
208-255-8066
Fax Number
208-263-6623
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
P5173 (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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