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Nickolas David Wynn, PHARMD
Pharmacist in Twin Falls, Idaho
NPI 1962981092

Nickolas David Wynn is a Pharmacist based in Twin Falls, ID. Nickolas David Wynn practices in Twin Falls, ID and has the professional credentials of PHARMD. The NPI Number for Nickolas David Wynn is 1962981092 and holds a License No. P8038 (Idaho).

The current practice location address for Nickolas David Wynn is 1649 Pole Line Rd E, Twin Falls, ID and can be reached out via phone at 208-734-3791 and via fax at 208-736-7476.

Location: 1649 Pole Line Rd E, Twin Falls, ID, 83301-8397
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962981092
Provider Name
Nickolas David Wynn
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
1649 Pole Line Rd E, Twin Falls, ID, 83301-8397
Phone Number
208-734-3791
Fax Number
208-736-7476
Provider Enumeration Date
08/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1649 Pole Line Rd E
City
Twin Falls
State
Idaho
Zip
83301-8397
Phone Number
208-734-3791
Fax Number
208-736-7476
person
Provider Business Mailing Address Details
Address
1649 Pole Line Rd E
City
Twin Falls
State
Idaho
Zip
83301-8397
Phone Number
208-734-3791
Fax Number
208-736-7476
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
P8038 (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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