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NPI Code Detail

MEDICARE: MEGAN KOYLE

MEDICARE: MEGAN KOYLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P2201XAmbulatory Care PharmacistP7092ID

General Provider Information

NPI Number : 1265840011
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN KOYLE
Provider Business Mailing Address
First Line : 500 W FORT ST
Second Line :
City : BOISE
State : ID
Zip : 83702-4501
Country : US
Telephone Number : 208-539-7301
Fax Number :
Provider Business Practice Location Address
First Line : 500 W FORT ST
Second Line :
City : BOISE
State : ID
Zip : 83702-4501
Country : US
Telephone Number : 208-422-7865
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2014
Last Update Date : 03/12/2026

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Directions to “ MEGAN KOYLE ” Practice Location

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