| 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 | |
Gregory Olsen, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 267 N Canyon Dr, Gooding, ID 83330 Phone: 208-934-4433 |