Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY THIBODEAU, PHARMD
ActivePharmacist Clinician (PhC) · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1821474818
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 3, 2015 (10.716852783154 yrs)
- Last Updated
- Sep 17, 2025
- Licenses
-
PH60020486 (WA)P8107 (ID)
Practice Information
- Address
-
700 W IRONWOOD DR STE 228COEUR D ALENE, ID, 838144473Browse ID providers · Browse ZIP 83814
- Phone
- 2086255672
- Fax
- 2086256488
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
- Additional Specialty
- Pharmacist Clinician (PhC)
Other Pharmacist Clinician (PhC) Providers in COEUR D ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| ELAINE ELIZABETH BAKER | PHARM.D. | 1144471095 |
| PHILIP ANDERS BALLANCE | — | 1205164126 |
| KATHLEEN WIDMYER | RPH | 1205376456 |
| HEATHER SPEARS | — | 1104578731 |
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.