Tillery, Kim E.
Tillery, Kim E. is an sole proprietor health care provider with primary practice located at 2638 Longbow Dr , Twin Falls ID 83301-8946. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Tillery, Kim E. can be contacted via phone (208) 735-4076.Contact Information
Primary practice address
2638 Longbow Dr
Twin Falls ID 83301-8946
Phone: (208) 735-4076
Fax: (208) 324-4599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | P4585 | Idaho |
Profile Details
| NPI number | 1508096777 |
|---|---|
| LBN Legal business name | Tillery, Kim E. |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2009 |
| Last updated | Jul 21st, 2009 - about 15 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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