Individual provider · Type 1 NPI

Gordon Ralph McCrae, PharmD

Pharmacist · Pocatello, ID

NPI number 1629352836 Active

Practice location

905 Yellowstone Ave
Pocatello, ID 83201-4416

Call (208) 233-2382 Map

Fax (208) 233-2648

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP5103 (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 1629352836

Gordon Ralph McCrae, PharmD's National Provider Identifier is 1629352836, issued on Oct 6, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Pocatello, ID. The record was last updated on Oct 6, 2011.