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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FRED M OTT, RPH

Active Sole Proprietor

FRED M OTT, RPH is a Pharmacist healthcare provider located in GARDEN CITY, Idaho. NPI 1043509631 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · GARDEN CITY, ID

Registration Details

NPI Number
1043509631
Provider Type
Individual
Gender
Male
NPI Issued
Apr 4, 2011 (15.358476495235 yrs)
Last Updated
Apr 4, 2011
Licenses
P4096 (ID)
CS2026 (ID)
Sole Proprietor
Yes

Practice Information

Address
5425 W CHINDEN BLVD
GARDEN CITY, ID, 837141468
Browse ID providers · Browse ZIP 83714
Phone
2083237036
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in GARDEN CITY, ID

Name Credential NPI
DR. BENJAMIN JESSE COOK PHARMD 1992094304
MS. TINA U BANDEKAR 1457635617
KIM JOHNSON PHARMD 1457795692
DR. DAVID SAUTER PHARMD 1659712164
DR. KYLE K DAVIS PHARMD 1730512450
NOE RONQUILLO 1700616265
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.