Individual provider · Type 1 NPI

Mongtu Thi Nguyen Pham, PharmD

Pharmacist · Meridian, ID

NPI number 1164635934 Active

Practice location

520 S. Eagle Road
Meridian, ID 83642

Call (208) 706-1523 Map

Fax (208) 706-1543

Mailing address

520 S Eagle Rd
Meridian, ID 83642-6351

Other practice locations

  • 520 S Eagle Rd, Meridian, ID 83642-6351 · (208) 706-1520

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X8912 (OR)
Pharmacist Primary 183500000XP5321 (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 1164635934

Mongtu Thi Nguyen Pham, PharmD's National Provider Identifier is 1164635934, issued on May 8, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Meridian, ID. The record was last updated on Dec 17, 2019.