NPI 1013402809

Kailey Lynn Moore

Practitioner Pharmacist Idaho Falls, ID

Practice location

Address: 376 West 18th Street, Idaho Falls, ID 83402
Phone: (208) 681-8233
Mailing address: 376 W 18th St, Idaho Falls, ID 83402-4445

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence P8030 (ID)

Other Pharmacist providers in Idaho →

Registry record

NPI: 1013402809
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jun 2018
Record last updated: 25 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.