NPI age
12 years
Enumerated 2013-10-04
Across 1739 active pharmacist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | P6766 | REGISTERED PHARMACIST |
| 01 (NV) | 17649 | REGISTERED PHARMACIST |
Solo or small practice. No other active providers share this practice address in NPPES.
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