Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristofer Kelly- James Lark, PHARMD

Individual provider Pharmacist · NPI 1538519749

Kristofer Kelly- James Lark, PHARMD is a Pharmacist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2016.

Licensed in
ID
In the registry since
2016
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

4709 W Kendall St
Boise, ID 83706-2224
Phone: (208) 713-7948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P7518 (ID)

Record details

NPI number1538519749
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedJune 18, 2016
Last updated in NPPESJune 18, 2016

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