Individual provider · Type 1 NPI
Kenneth Dirk, PharmD, MBA
Pharmacist · Boise, ID
Practice location
1219 Broadway Ave
Boise, ID 83706-3701
Fax (208) 433-9907
Mailing address
4636 E Narcissus Ct
Boise, ID 83716-7002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | P5175 (ID) |
Pharmacist: 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…
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About NPI 1447478151
Kenneth Dirk, PharmD, MBA's National Provider Identifier is 1447478151, issued on Apr 20, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.