Dustin Hannawalt is a Pharmacist based in Caldwell, ID. Dustin Hannawalt practices in Caldwell, ID. The NPI Number for Dustin Hannawalt is 1285205377 and holds a License No. P9379 (Idaho).
The current practice location address for Dustin Hannawalt is 4110 S 10Th Ave, Caldwell, ID and can be reached out via phone at 208-402-0154.
Location: 4110 S 10Th Ave, Caldwell, ID, 83605-5706
Provider Profile Details
NPI Number
1285205377
Provider Name
Dustin Hannawalt
Credential
Provider Entity Type
Individual
Gender
Male
Address
4110 S 10Th Ave, Caldwell, ID, 83605-5706
Phone Number
208-402-0154
Fax Number
Provider Enumeration Date
07/08/2021
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
4110 S 10Th Ave
City
State
Zip
83605-5706
Phone Number
208-402-0154
Fax Number
Provider Business Mailing Address Details
Address
4110 S 10Th Ave
City
State
Zip
83605-5706
Phone Number
208-402-0154
Fax Number
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
P9379 (Idaho)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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