Individual provider · Type 1 NPI

Tyson C. Spencer, PHARM D

Pharmacist · Pocatello, ID

NPI number 1164705497 Active

Practice location

305 W Quinn Rd
Pocatello, ID 83201-4988

Fax (208) 238-4046

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP6120 (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 1164705497

Tyson C. Spencer, PHARM D's National Provider Identifier is 1164705497, issued on Sep 22, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Pocatello, ID. The record was last updated on Sep 22, 2011.