Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY MONDELL, RPH
Active Sole ProprietorPharmacist Clinician (PhC) · AMMON, ID
Registration Details
- NPI Number
- 1942580303
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2011 (14.678317312529 yrs)
- Last Updated
- Aug 17, 2011
- Licenses
-
P4082 (ID)RPH-0006399 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1901 S 2500 EAMMON, ID, 834065710Browse ID providers · Browse ZIP 83406
- Phone
- 2085241616
- Fax
- 2085286563
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
- Additional Specialty
- Pharmacist Clinician (PhC)
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.