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Cheyene Joseph Nickerson
Pharmacist in Blackfoot, Idaho
NPI 1306369681

Cheyene Joseph Nickerson is a Pharmacist based in Mccall, ID. Cheyene Joseph Nickerson practices in Blackfoot, ID. The NPI Number for Cheyene Joseph Nickerson is 1306369681 and holds a License No. P7793 (Idaho).

The current practice location address for Cheyene Joseph Nickerson is 565 Jensen Grove Dr, Blackfoot, ID and can be reached out via phone at 208-785-0277.

Location: 565 Jensen Grove Dr, Blackfoot, ID, 83638-3811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306369681
Provider Name
Cheyene Joseph Nickerson
Credential
Provider Entity Type
Individual
Gender
Male
Address
565 Jensen Grove Dr, Blackfoot, ID, 83638-3811
Phone Number
208-785-0277
Fax Number
Provider Enumeration Date
07/19/2017
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
565 Jensen Grove Dr
City
Blackfoot
State
Idaho
Zip
83221-1682
Phone Number
208-785-0277
Fax Number
person
Provider Business Mailing Address Details
Address
565 Jensen Grove Dr
City
Blackfoot
State
Idaho
Zip
83221-1682
Phone Number
208-785-0277
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
P7793 (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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