Individual provider · Type 1 NPI
Takoda Averett
Pharmacist · Pocatello, ID
Practice location
1015 Young St.
Pocatello, ID 83201-8320
Mailing address
2476 Greenfield Dr
Pocatello, ID 83201-7600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | P10076 (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 1902522600
Takoda Averett's National Provider Identifier is 1902522600, issued on Oct 13, 2022. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Pocatello, ID. The record was last updated on Oct 13, 2022.