Individual provider · Type 1 NPI

Jesse Sue Wageman, PharmD

Pharmacist · Chubbuck, ID

NPI number 1598050445 Active

Practice location

4845 Yellowstone Ave
Chubbuck, ID 83202-2333

Call (208) 237-3900 Map

Mailing address

1201 East Gilbert Ave
Coeur D Alene, ID 83815-2333

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XE3950 (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…

10 other providers at this address

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About NPI 1598050445

Jesse Sue Wageman, PharmD's National Provider Identifier is 1598050445, issued on Jun 17, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Chubbuck, ID. The record was last updated on Nov 10, 2014.