NPI 1043544331

Keri Noel Sullivan-Walker, PHARMD

Practitioner Pharmacist Moscow, ID

Practice location

Address: 803 S Main St STE 120, Moscow, ID 83843-2695
Phone: (208) 848-8300
Fax: (208) 848-8304
Mailing address: 611 N Iron Bridge Way, Spokane, WA 99202-4932

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence P6287 (ID)

Other Pharmacist providers in Idaho →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence PH6009072 (WA)

Registry record

NPI: 1043544331
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2009
Record last updated: 30 Mar 2022

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.