Dr Jeffrey Koudelka, PHARM D | |
1427 Main St, Gooding, ID 83330-1838 | |
(208) 934-4709 | |
(208) 934-4905 |
Full Name | Dr Jeffrey Koudelka |
---|---|
Gender | Male |
Speciality | Pharmacist |
Location | 1427 Main St, Gooding, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699177527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | P5033 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey Koudelka, PHARM D 1427 Main St, Gooding, ID 83330-1838 Ph: (208) 934-4709 | Dr Jeffrey Koudelka, PHARM D 1427 Main St, Gooding, ID 83330-1838 Ph: (208) 934-4709 |
Dallin Brent Farnes, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 414 Main St, Gooding, ID 83330 Phone: 208-934-4000 | |
Shelby Lancaster, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 414 Main St, Gooding, ID 83330 Phone: 208-934-4000 |