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

DR. TED WIEDMANN, PHARMD

Active Sole Proprietor

DR. TED WIEDMANN, PHARMD is a Pharmacist healthcare provider located in MERIDIAN, Idaho. NPI 1609562131 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · MERIDIAN, ID

Registration Details

NPI Number
1609562131
Provider Type
Individual
Gender
Male
NPI Issued
Apr 17, 2023 (3.3145057852977 yrs)
Last Updated
Aug 21, 2023
Licenses
30904 (CA)
P9212 (ID)
Sole Proprietor
Yes

Practice Information

Address
800 S INDUSTRY WAY STE 240
MERIDIAN, ID, 836423559
Browse ID providers · Browse ZIP 83642
Phone
2088840669
Fax
2089553291
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in MERIDIAN, ID

Name Credential NPI
DR. MARK ALAN HOFSTETTER PHARM.D. 1558363283
DR. KEVIN WERNER CLEVELAND PHARM.D. 1811999592
DR. JENNIFER L ADAMS PHARM.D., ED.D. 1356481691
JANE GENNRICH PHARMD 1043338825
DR. KAMI LYNN RICHINS PHARMD 1568584563
DR. TERESA L COLE PHARMD 1295953735
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.