Most Relevant Information
Provider Data
| NPI Number: | 1003597345 |
| Provider Name: | KALIN JOSEPH CRAYNOR |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | P10808 |
Most Important Dates
| Enumeration Date: | 07/28/2023 |
| Last Updated: | 07/28/2023 |
Provider Practice Location
535 E 17TH ST
IDAHO FALLS
ID
834046154
Practice Location Phone/Fax
| Phone: | 2085424569 |
| Fax: |
Provider Mailing Location
535 E 17TH ST
IDAHO FALLS
ID
834046154
Provider Mailing Phone/Fax
| Phone: | 2085424569 |
| Fax: |