Individual provider · Type 1 NPI

Jaret Koudelka, PHARM. D.

Pharmacist · Caldwell, ID

NPI number 1487331625 Active

Practice location

1717 Arlington Ave
Caldwell, ID 83605-4802

Call (208) 455-3810 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XRPH-0021039 (OR)
Pharmacist Primary 183500000XP10716 (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 1487331625

Jaret Koudelka, PHARM. D.'s National Provider Identifier is 1487331625, issued on Jun 29, 2023. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Caldwell, ID. The record was last updated on Aug 31, 2026.