Sullivan-Walker, Keri Noel
Sullivan-Walker, Keri Noel is an sole proprietor health care provider with primary practice located at 803 S Main St Ste 120 , Moscow ID 83843-2695. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Sullivan-Walker, Keri Noel can be contacted via phone (208) 848-8300.Contact Information
Primary practice address
803 S Main St Ste 120
Moscow ID 83843-2695
Phone: (208) 848-8300
Fax: (208) 848-8304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PH6009072 | Washington |
| Pharmacy Service Providers / Pharmacist | 183500000X | P6287 | Idaho |
Profile Details
| NPI number | 1043544331 |
|---|---|
| LBN Legal business name | Sullivan-Walker, Keri Noel |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2009 |
| Last updated | Mar 30th, 2022 - about 4 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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