Individual provider · Type 1 NPI

Judd Alan Knudsen, RPH

Pharmacist · Fruitland, ID

NPI number 1104112903 Active

Practice location

1620 N Whitley Dr
Fruitland, ID 83619-2129

Call (208) 452-7075 Map

Fax (208) 452-7446

Other practice locations

  • 1620 N Whitley Dr, Fruitland, ID 83619-2129 · (208) 452-7075

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X15851 (NV)
Pharmacist Primary 183500000XP6023 (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…

7 other providers at this address

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About NPI 1104112903

Judd Alan Knudsen, RPH's National Provider Identifier is 1104112903, issued on Jun 21, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fruitland, ID. The record was last updated on Apr 8, 2022.