Individual provider · Type 1 NPI

Cheyene Joseph Nickerson

Pharmacist · Blackfoot, ID

NPI number 1306369681 Active

Practice location

565 Jensen Grove Dr
Blackfoot, ID 83221-1682

Call (208) 785-0277 Map

Mailing address

132 E Lake St
Mccall, ID 83638-3811

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP7793 (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…

6 other providers at this address

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About NPI 1306369681

Cheyene Joseph Nickerson's National Provider Identifier is 1306369681, issued on Jul 19, 2017. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Blackfoot, ID. The record was last updated on Jan 17, 2025.