Dr. Chase Wadsworth, PharmD
Pharmacist in Caldwell, ID. Individual provider (NPI-1).
NPI number1013272467
StatusActive
Last updated in NPPESNov 10, 2021
Details
- NPI
- 1013272467
- Entity type
- Individual (NPI-1)
- Name
- Dr. Chase Wadsworth
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2012
- Certification date
- Nov 10, 2021
- Last updated
- Nov 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | P6689 | ID | Yes |
| 183500000X | Pharmacist | CS19216 | ID |
Practice location
2500 Blaine StCaldwell, ID 83605-4461
Phone 208-454-0484
Mailing address
24983 Fox Ridge DrCaldwell, ID 83607-7689
Phone 208-221-1012
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All 44 Pharmacist providers in Caldwell · All 1,097 providers in Caldwell
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