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Kenneth Carlin K.c. Roose
Pharmacist in Ammon, Idaho
NPI 1790566404

Kenneth Carlin K.c. Roose is a Pharmacist based in Chubbuck, ID. Kenneth Carlin K.c. Roose practices in Ammon, ID. The NPI Number for Kenneth Carlin K.c. Roose is 1790566404 and holds a License No. P10920 (Idaho).

The current practice location address for Kenneth Carlin K.c. Roose is 3250 E 17Th St, Ammon, ID and can be reached out via phone at 208-552-7677.

Location: 3250 E 17Th St, Ammon, ID, 83202-2296
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790566404
Provider Name
Kenneth Carlin K.c. Roose
Credential
Provider Entity Type
Individual
Gender
Male
Address
3250 E 17Th St, Ammon, ID, 83202-2296
Phone Number
208-552-7677
Fax Number
Provider Enumeration Date
10/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3250 E 17Th St
City
Ammon
State
Idaho
Zip
83406-6758
Phone Number
208-552-7677
Fax Number
person
Provider Business Mailing Address Details
Address
3250 E 17Th St
City
Ammon
State
Idaho
Zip
83406-6758
Phone Number
208-552-7677
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
P10920 (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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