Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY KOUDELKA, PHARM D
ActiveDR. JEFFREY KOUDELKA, PHARM D is a Pharmacist healthcare provider located in GOODING, Idaho. NPI 1699177527 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · GOODING, ID
Registration Details
- NPI Number
- 1699177527
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 23, 2014 (11.882448873957 yrs)
- Last Updated
- Sep 23, 2014
- License
-
P5033 (ID)
Practice Information
- Address
-
1427 MAIN STGOODING, ID, 833301838Browse ID providers · Browse ZIP 83330
- Phone
- 2089344709
- Fax
- 2089344905
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in GOODING, ID
| Name | Credential | NPI |
|---|---|---|
| SHELBY LANCASTER | — | 1275088767 |
| GREGORY OLSEN | PHARMD | 1427863323 |
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.