Most Relevant Information
Provider Data
| NPI Number: | 1003369414 |
| Provider Name: | KYLE ALLEN ROBERTS PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PH60653905 |
Most Important Dates
| Enumeration Date: | 08/02/2016 |
| Last Updated: | 04/12/2023 |
Provider Practice Location
335 W APPLEWAY AVE
COEUR D ALENE
ID
838149306
Practice Location Phone/Fax
| Phone: | 2087651254 |
| Fax: | 2087651303 |
Provider Mailing Location
335 W APPLEWAY AVE
COEUR D ALENE
ID
838149306
Provider Mailing Phone/Fax
| Phone: | 2087651254 |
| Fax: | 2087651303 |