Individual provider · Type 1 NPI

Mary Thibodeau, PharmD

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Coeur D Alene, ID

NPI number 1821474818 Active

Practice location

700 W Ironwood Dr Ste 228
Coeur D Alene, ID 83814-4473

Call (208) 625-5672 Map

Fax (208) 625-6488

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018XPH60020486 (WA)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018XP8107 (ID)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

6 other providers at this address

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About NPI 1821474818

Mary Thibodeau, PharmD's National Provider Identifier is 1821474818, issued on Aug 3, 2015. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Coeur D Alene, ID. The record was last updated on Sep 17, 2025.