Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE OLIVER WITHERS JR., PHARMD, BCPS
Active Sole ProprietorSHANE OLIVER WITHERS JR., PHARMD, BCPS is a Pharmacist healthcare provider located in IDAHO FALLS, Idaho. NPI 1336790567 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1336790567
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2019 (6.8315180467747 yrs)
- Last Updated
- Apr 10, 2022
- License
-
P8466 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2495 E LINCOLN RDIDAHO FALLS, ID, 834012203Browse ID providers · Browse ZIP 83401
- Phone
- 9864973149
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| FRANK GERALD EGBERT | PHARM D | 1568578730 |
| DR. ROBERT ALLEN MYERS | PH.D., R.PH. | 1952404873 |
| LETITIA ANNE WILLIAMS | R.PH. | 1386738565 |
| MR. NEIL TETSUO KOMODA | PHARMACIST | 1467517201 |
| DR. JORDAN B ADAMS | PHARMD | 1083741243 |
| DR. BRAD BERRY | PHARM.D. | 1518151018 |
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.