NPI 1013272467

Chase Wadsworth, PHARMD

Practitioner Pharmacist Caldwell, ID

Practice location

Address: 2500 Blaine St, Caldwell, ID 83605-4461
Phone: (208) 454-0484
Mailing address: 24983 Fox Ridge Dr, Caldwell, ID 83607-7689

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence P6689 (ID)

Other Pharmacist providers in Idaho →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence CS19216 (ID)

Registry record

NPI: 1013272467
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jul 2012
Record last updated: 10 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.