NPI age
14 years
Enumerated 2011-10-31
Across 1739 active pharmacist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | P4926 | IDAHO STATE BOARD OF PHARMACY |
| 01 (ID) | CS5507 | PHARMACIST CONTROLLED SUBSTANCE LISCENSE |
Solo or small practice. No other active providers share this practice address in NPPES.
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