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Mr. Neil Tetsuo Komoda, PHARMACIST
Pharmacist in Idaho Falls, Idaho
NPI 1467517201

Neil Tetsuo Komoda is a Pharmacist based in Idaho Falls, ID. Neil Tetsuo Komoda practices in Idaho Falls, ID and has the professional credentials of PHARMACIST. The NPI Number for Neil Tetsuo Komoda is 1467517201 and holds a License No. P3674 (Idaho).

The current practice location address for Neil Tetsuo Komoda is 2425 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-523-2277 and via fax at 208-552-1246. You can also correspond with Neil Tetsuo Komoda through the mailing address at 2425 CHANNING WAY, IDAHO FALLS, ID - 83404-8059 (mailing address contact number: 208-523-2277).

Location: 2425 Channing Way, Idaho Falls, ID, 83404-8059
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467517201
Provider Name
Neil Tetsuo Komoda
Credential
PHARMACIST
Provider Entity Type
Individual
Gender
Male
Address
2425 Channing Way, Idaho Falls, ID, 83404-8059
Phone Number
208-523-2277
Fax Number
208-552-1246
Provider Enumeration Date
12/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
421CP 01 ID LICENSE
institution
Provider Business Practice Location Address Details
Address
2425 Channing Way
City
Idaho Falls
State
Idaho
Zip
83404-8059
Phone Number
208-523-2277
Fax Number
208-552-1246
person
Provider Business Mailing Address Details
Address
2425 Channing Way
City
Idaho Falls
State
Idaho
Zip
83404-8059
Phone Number
208-523-2277
Fax Number
208-552-1246
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
P3674 (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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