Search › Idaho › 183500000X
Jeffrey Koudelka, PHARM D
NPI 1699177527 · on the registry since 2014
Practice
- Address
- 1427 Main St
Gooding, ID 83330 - Phone
- (208) 934-4709
- Fax
- (208) 934-4905
- Organisation at this address
- Ridley'S Family Markets, Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-09-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho