Mark Keyes, PHARMD Valid NPI
Individual provider · Pharmacist · Idaho Falls, ID
- NPI
- 1093015505
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- P6255 (ID)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2010-10-31
- Last updated
- 2010-10-31
Practice location
1555 Northgate Mile
Idaho Falls, ID 83401-2014
(208) 535-2553