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General NPI Number Information
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NPI Number | 1619803079
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Entity Type | Individual
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Provider Name | KIMBERLY MARIE WESTRICK PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 161 W PRAIRIE AVE
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City | HAYDEN
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State | ID
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Zip | 83835-8284
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Country | US
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Telephone | 208-772-7864
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Fax |
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Provider Business Mailing Address
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Address Line | 3291 W THORNDALE LOOP
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City | COEUR D ALENE
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State | ID
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Zip | 83815-9735
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Country | US
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Telephone | 208-755-6120
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 1281900
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License Number State | ID
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