Individual provider · Type 1 NPI

Dustin Hannawalt

Pharmacist · Caldwell, ID

NPI number 1285205377 Active

Practice location

4110 S 10th Ave
Caldwell, ID 83605-5706

Call (208) 402-0154 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP9379 (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 1285205377

Dustin Hannawalt's National Provider Identifier is 1285205377, issued on Jul 8, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Caldwell, ID. The record was last updated on Jul 8, 2021.