Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KIM E. TILLERY, RPH
Active Sole ProprietorPharmacist Clinician (PhC) · TWIN FALLS, ID
Registration Details
- NPI Number
- 1508096777
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2009 (16.752282152975 yrs)
- Last Updated
- Jul 21, 2009
- License
-
P4585 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2638 LONGBOW DRTWIN FALLS, ID, 833018946Browse ID providers · Browse ZIP 83301
- Phone
- 2087354076
- Fax
- 2083244599
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
Other Pharmacist Clinician (PhC) Providers in TWIN FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| DR. JEREMY ALAN HUNTER | PHARM. D. | 1205064342 |
| TONY DEAN ROST | RPH, CDE | 1003100116 |
| ALEXIS MEYERHOEFFER ZIMMERS | PHARMD | 1588234587 |
| CHRISTOPHER HEGMAN | PHARMD | 1730882796 |
| TANNER HARRIS | — | 1508695313 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.