Bridgette Wilson, PharmD
Pharmacist in Idaho Falls, ID. Individual provider (NPI-1).
NPI number1649823402
StatusActive
Last updated in NPPESJul 22, 2019
Details
- NPI
- 1649823402
- Entity type
- Individual (NPI-1)
- Name
- Bridgette Wilson
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2019
- Last updated
- Jul 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | P8416 | ID | Yes |
Practice location
535 E 17th StIdaho Falls, ID 83404-6154
Phone 208-542-4569
Mailing address
535 E 17th StIdaho Falls, ID 83404-6154
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