NPI 1023482791

Gabriel Phillips, PHARMD

Practitioner Pharmacist Idaho Falls, ID

Practice location

Address: 1725 1st St, Idaho Falls, ID 83401-4306
Phone: (208) 419-4684
Fax: (208) 419-4690

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence P7376 (ID)

Other Pharmacist providers in Idaho →

Registry record

NPI: 1023482791
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Nov 2015
Record last updated: 18 Nov 2015

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.