Individual provider · Type 1 NPI
Jacqulyn Myra Kelly, RPH
Pharmacist · Boise, ID
Practice location
2504 E Bergeson St
Boise, ID 83706-6014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | P5381 (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 1992086045
Jacqulyn Myra Kelly, RPH's National Provider Identifier is 1992086045, issued on Sep 2, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Boise, ID. The record was last updated on Sep 2, 2011.