Kelli Pavlicek, - Pharmacist in Boise, ID

Kelli Pavlicek, is a Pharmacist - Ambulatory Care based in Boise, Idaho. Kelli Pavlicek is licensed to practice in Idaho (license number P11114) and her current practice location is 190 E Bannock St, Boise, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 381-2222.

NPI number for Kelli Pavlicek is 1174385447 and her current mailing address is 190 E Bannock St, Boise, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174385447.

Contact Information

Kelli Pavlicek,
190 E Bannock St,
Boise, ID 83712-6241
(208) 381-2222
Not Available

Healthcare Provider's Profile

Full NameKelli Pavlicek
GenderFemale
SpecialityPharmacist - Ambulatory Care
Location190 E Bannock St, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174385447
  • Provider Enumeration Date: 01/23/2024
  • Last Update Date: 01/23/2024

Medical Identifiers

Medical identifiers for Kelli Pavlicek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174385447NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1835P2201XPharmacist - Ambulatory Care P11114 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelli Pavlicek is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelli Pavlicek,
190 E Bannock St,
Boise, ID 83712-6241

Ph: () -
Kelli Pavlicek,
190 E Bannock St,
Boise, ID 83712-6241

Ph: (208) 381-2222

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› Verified 6 days ago


Pharmacist in Boise, ID

Eleanor I Evans, R.PH.
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Phone: 208-381-4146    Fax: 208-381-1665

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