NPI 1023653292

Brenen James Baumgartner, PHARMD

Practitioner Pharmacist Coeur D Alene, ID

Practice location

Address: 208 W Ironwood Dr, Coeur D Alene, ID 83814-2640
Phone: (208) 664-6185

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence P8490 (ID)

Other Pharmacist providers in Idaho →

Registry record

NPI: 1023653292
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Nov 2019
Record last updated: 12 Nov 2019

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.