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

JESSE SUE WAGEMAN, PHARMD

Active Sole Proprietor

JESSE SUE WAGEMAN, PHARMD is a Pharmacist healthcare provider located in CHUBBUCK, Idaho. NPI 1598050445 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · CHUBBUCK, ID

Registration Details

NPI Number
1598050445
Provider Type
Individual
Gender
Female
NPI Issued
Jun 17, 2011 (15.117327113154 yrs)
Last Updated
Nov 10, 2014
License
E3950 (ID)
Sole Proprietor
Yes

Practice Information

Address
4845 YELLOWSTONE AVE
CHUBBUCK, ID, 832022333
Browse ID providers · Browse ZIP 83202
Phone
2082373900
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in CHUBBUCK, ID

Name Credential NPI
DALE FAYLE-ENDO R.PH. 1962694257
MRS. DEBORAH K HENSON PHARM D 1730373283
DR. VALERIE MCKINLEY PHARMD 1699060541
MR. ALAN DAVID PANNIER PHARMACY INTERN 1568757417
CLINT L JENSEN PHARM.D. 1114200599
MR. BYRON W. FISHER RPH. 1558645705
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.