Individual provider · Type 1 NPI

Clinton J. Thackeray

Pharmacist · Rigby, ID

NPI number 1780937151 Active

Practice location

150 N State St
Rigby, ID 83442-1443

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP6368 (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 1780937151

Clinton J. Thackeray's National Provider Identifier is 1780937151, issued on Oct 22, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Rigby, ID. The record was last updated on Apr 19, 2016.