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Shane Oliver Withers JR., PHARMD,BCPS
Pharmacist in Idaho Falls, Idaho
NPI 1336790567

Shane Oliver Withers JR. is a Pharmacist based in Idaho Falls, ID. Shane Oliver Withers JR. practices in Idaho Falls, ID and has the professional credentials of PHARMD,BCPS. The NPI Number for Shane Oliver Withers JR. is 1336790567 and holds a License No. P8466 (Idaho).

The current practice location address for Shane Oliver Withers JR. is 2495 E Lincoln Rd, Idaho Falls, ID and can be reached out via phone at 986-497-3149.

Location: 2495 E Lincoln Rd, Idaho Falls, ID, 83401-2164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336790567
Provider Name
Shane Oliver Withers JR.
Credential
PHARMD,BCPS
Provider Entity Type
Individual
Gender
Male
Address
2495 E Lincoln Rd, Idaho Falls, ID, 83401-2164
Phone Number
986-497-3149
Fax Number
Provider Enumeration Date
09/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2495 E Lincoln Rd
City
Idaho Falls
State
Idaho
Zip
83401-2203
Phone Number
986-497-3149
Fax Number
person
Provider Business Mailing Address Details
Address
2495 E Lincoln Rd
City
Idaho Falls
State
Idaho
Zip
83401-2203
Phone Number
986-497-3149
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
P8466 (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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