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

BLAINE L WILDING, PHARMD

Active

BLAINE L WILDING, PHARMD is a Pharmacist healthcare provider located in SHELLEY, Idaho. NPI 1942579404 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · SHELLEY, ID

Registration Details

NPI Number
1942579404
Provider Type
Individual
Gender
Male
NPI Issued
Dec 29, 2011 (14.587036662534 yrs)
Last Updated
Dec 29, 2011
License
P4789 (ID)

Practice Information

Address
570 S STATE ST
SHELLEY, ID, 832741470
Browse ID providers · Browse ZIP 83274
Phone
2083570473
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in SHELLEY, ID

Name Credential NPI
DR. TY W. SWENSEN PHARM.D. 1710075635
TIMOTHY ELRAY ALLEN PHARM D 1790032548
DR. DANIEL SCHAUWECKER PHARMD 1790194835
NATHAN BOLANDER 1669854931
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.