Flowers, Wade H

Flowers, Wade H is an sole proprietor health care provider with primary practice located at 98 Poplar St , Blackfoot ID 83221-1758. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacotherapy, Pharmacy Service Providers / Geriatric. Pharmacy Service Providers / Pharmacotherapy is his primary health care specialty. Flowers, Wade H can be contacted via phone (208) 782-3770.

Contact Information

Primary practice address
98 Poplar St Blackfoot ID 83221-1758
Phone: (208) 782-3770
Fax: (208) 782-3709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X P4656 Idaho
Pharmacy Service Providers / Geriatric 1835G0303X P4656 Idaho

Profile Details

NPI number 1609871474
LBN Legal business name Flowers, Wade H
Credentials PHARM.D., BCPS, CGP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Apr 1st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609871474 NPPES
Idaho Other 1381 CGP
Idaho Other 3 08 010444 CGP

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