Individual provider · Type 1 NPI
Nickolas David Wynn, PharmD
Pharmacist · Twin Falls, ID
Practice location
1649 Pole Line Rd E
Twin Falls, ID 83301-8397
Fax (208) 736-7476
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | P8038 (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 1962981092
Nickolas David Wynn, PharmD's National Provider Identifier is 1962981092, issued on Aug 9, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Twin Falls, ID. The record was last updated on Aug 9, 2018.