Organization · Type 2 NPI

Aviva Northwest, PLLC

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Coeur D Alene, ID

NPI number 1225847643 Active

Practice location

301 N 1st St Apt 416
Coeur D Alene, ID 83814-2845

Fax (509) 231-7045

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018XNone listed

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

About NPI 1225847643

Aviva Northwest, PLLC's National Provider Identifier is 1225847643, issued on Dec 31, 2024. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Coeur D Alene, ID. The record was last updated on Apr 19, 2025.