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Jesse Sue Wageman, PHARMD
Pharmacist in Chubbuck, Idaho
NPI 1598050445

Jesse Sue Wageman is a Pharmacist based in Coeur D Alene, ID. Jesse Sue Wageman practices in Chubbuck, ID and has the professional credentials of PHARMD. The NPI Number for Jesse Sue Wageman is 1598050445 and holds a License No. E3950 (Idaho).

The current practice location address for Jesse Sue Wageman is 4845 Yellowstone Ave, Chubbuck, ID and can be reached out via phone at 208-237-3900. You can also correspond with Jesse Sue Wageman through the mailing address at 1201 EAST GILBERT AVE, COEUR D ALENE, ID - 83815-2333 (mailing address contact number: 208-916-6879).

Location: 4845 Yellowstone Ave, Chubbuck, ID, 83815-2333
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598050445
Provider Name
Jesse Sue Wageman
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
4845 Yellowstone Ave, Chubbuck, ID, 83815-2333
Phone Number
208-237-3900
Fax Number
Provider Enumeration Date
06/17/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4845 Yellowstone Ave
City
Chubbuck
State
Idaho
Zip
83202-2333
Phone Number
208-237-3900
Fax Number
person
Provider Business Mailing Address Details
Address
4845 Yellowstone Ave
City
Chubbuck
State
Idaho
Zip
83202-2333
Phone Number
208-237-3900
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
E3950 (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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