Individual provider · Type 1 NPI

Shane Oliver Withers Jr., PharmD, BCPS

Pharmacist · Idaho Falls, ID

NPI number 1336790567 Active

Practice location

2495 E Lincoln Rd
Idaho Falls, ID 83401-2203

Call (986) 497-3149 Map

Mailing address

933 E Elva St
Idaho Falls, ID 83401-2164

Other practice locations

  • 933 E Elva St, Idaho Falls, ID 83401-2164 · (208) 313-4336

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP8466 (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…

4 other providers at this address

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About NPI 1336790567

Shane Oliver Withers Jr., PharmD, BCPS's National Provider Identifier is 1336790567, issued on Sep 29, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Idaho Falls, ID. The record was last updated on Apr 10, 2022.