Pullen, Gary Kevin

Pullen, Gary Kevin is an individual health care provider with primary practice located at 2250 Coronado St , Idaho Falls ID 83404-7552. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Pullen, Gary Kevin can be contacted via phone (208) 528-7979.

Contact Information

Primary practice address
2250 Coronado St Idaho Falls ID 83404-7552
Phone: (208) 528-7979
Fax: (208) 512-2238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P4336 Idaho
Pharmacy Service Providers / Pharmacotherapy 1835P1200X P4336 Idaho

Profile Details

NPI number 1417940578
LBN Legal business name Pullen, Gary Kevin
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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