Individual provider · Type 1 NPI
Jeffrey Koudelka, PHARM D
Pharmacist · Gooding, ID
Practice location
1427 Main St
Gooding, ID 83330-1838
Fax (208) 934-4905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | P5033 (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…
Another provider at this address
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About NPI 1699177527
Jeffrey Koudelka, PHARM D's National Provider Identifier is 1699177527, issued on Sep 23, 2014. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Gooding, ID. The record was last updated on Sep 23, 2014.