Individual provider · Type 1 NPI

Amanda Wray, RPH

Pharmacist · Blackfoot, ID

NPI number 1023504651 Active

Practice location

98 Poplar St
Blackfoot, ID 83221-1758

Call (208) 782-2990 Map

Fax (208) 782-2931

Mailing address

1585 Kates Way
Pocatello, ID 83204-4606

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP7045 (ID)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1023504651

Amanda Wray, RPH's National Provider Identifier is 1023504651, issued on Jul 6, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Blackfoot, ID. The record was last updated on Jul 6, 2018.