| Mrs Kimberly Dawn Puckett, PHARMD | |
|
212 Bonner Mall Way, Ponderay, ID 83852-9748 | |
| (208) 255-8066 | |
| (208) 263-6623 |
| Full Name | Mrs Kimberly Dawn Puckett |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 212 Bonner Mall Way, Ponderay, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700210085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | P5173 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimberly Dawn Puckett, PHARMD 212 Bonner Mall Way, Ponderay, ID 83852-9748 Ph: (208) 255-8066 | Mrs Kimberly Dawn Puckett, PHARMD 212 Bonner Mall Way, Ponderay, ID 83852-9748 Ph: (208) 255-8066 |
Bradley Owens, PHARM D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 30410 Highway 200, Ponderay, ID 83852 Phone: 208-263-7101 | |
Vern Stairs, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 476999 Us-95, Walmart Supercenter, Ponderay, ID 83852 Phone: 208-265-4490 | |
Bruce Spradlin, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 212 Bonner Mall Way, Ponderay, ID 83852 Phone: 208-265-8066 Fax: 208-263-6623 | |
Amy Mcgrath, PHARMACIST Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 476999 Highway 95, Ponderay, ID 83852 Phone: 208-265-4490 Fax: 208-265-0794 |