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Shane Ellis Withers, RPH
Pharmacist in Rexburg, Idaho
NPI 1952956906

Shane Ellis Withers is a Pharmacist based in Rexburg, ID. Shane Ellis Withers practices in Rexburg, ID and has the professional credentials of RPH. The NPI Number for Shane Ellis Withers is 1952956906 and holds a License No. P8493 (Idaho).

The current practice location address for Shane Ellis Withers is 164 E. Main, Rexburg, ID and can be reached out via phone at 208-227-5076.

Location: 164 E. Main, Rexburg, ID, 83440
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952956906
Provider Name
Shane Ellis Withers
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
164 E. Main, Rexburg, ID, 83440
Phone Number
208-227-5076
Fax Number
Provider Enumeration Date
08/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
164 E. Main
City
Rexburg
State
Idaho
Zip
83440
Phone Number
208-227-5076
Fax Number
person
Provider Business Mailing Address Details
Address
164 E. Main
City
Rexburg
State
Idaho
Zip
83440
Phone Number
208-227-5076
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
P8493 (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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