Individual provider · Type 1 NPI

Douglas Maxson

Pharmacist · Boise, ID

NPI number 1558279752 Active

Practice location

286 N Maple Grove Rd Ste 286
Boise, ID 83704-8239

Mailing address

4639 N Predo Way
Meridian, ID 83646-7417

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XRPH-0016313 (OR)
Pharmacist Primary 183500000XP7806 (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 1558279752

Douglas Maxson's National Provider Identifier is 1558279752, issued on Aug 29, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Boise, ID. The record was last updated on Aug 29, 2026.