Individual provider · Type 1 NPI

Thomas Vanderholm, PharmD

Pharmacist · Priest River, ID

NPI number 1780170480 Active

Practice location

5453 Highway 2
Priest River, ID 83856

Call (208) 448-1633 Map

Mailing address

5453 Hwy 2
Priest River, ID 83856

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	P8050 (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…

2 other providers at this address

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About NPI 1780170480

Thomas Vanderholm, PharmD's National Provider Identifier is 1780170480, issued on Jul 5, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Priest River, ID. The record was last updated on Jul 5, 2018.