Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY OWENS, PHARM D
ActiveBRADLEY OWENS, PHARM D is a Pharmacist Clinician (PhC) healthcare provider located in PONDERAY, Idaho. NPI 1174914121 is currently active in the NPPES registry. Verify at CMS.
Pharmacist Clinician (PhC) · PONDERAY, ID
Registration Details
- NPI Number
- 1174914121
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2015 (11.49369781645 yrs)
- Last Updated
- Feb 12, 2015
- License
-
P7216 (ID)
Practice Information
- Address
-
30410 HIGHWAY 200PONDERAY, ID, 838529601Browse ID providers · Browse ZIP 83852
- Phone
- 2082637101
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
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.