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

TAKODA AVERETT

Active

TAKODA AVERETT is a Pharmacist healthcare provider located in POCATELLO, Idaho. NPI 1902522600 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · POCATELLO, ID

Registration Details

NPI Number
1902522600
Provider Type
Individual
Gender
Female
NPI Issued
Oct 13, 2022 (3.7908216422181 yrs)
Last Updated
Oct 13, 2022
License
P10076 (ID)

Practice Information

Address
1015 YOUNG ST.
POCATELLO, ID, 832018320
Browse ID providers · Browse ZIP 83201
Phone
4102001000
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in POCATELLO, ID

Name Credential NPI
DR. PAUL W. OTTO PHARM.D. 1407850399
DR. JOETTE BALLARD PHARM D 1487658845
DR. ANGELA D. CASPERSON PHARM.D. 1912903360
MR. GEORGE N SEDLMAYER RPH 1508850322
JOHN ERRAMOUSPE PHARM.D., M.S. 1164411476
DENNIS A STODDARD PHARMACIST 1467432062
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.