Neibaur, Jeramy Randall

Neibaur, Jeramy Randall is an sole proprietor health care provider with primary practice located at 103 E College Ave , Saint Maries ID 83861-2247. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacotherapy, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Neibaur, Jeramy Randall can be contacted via phone (208) 245-4578.

Contact Information

Primary practice address
103 E College Ave Saint Maries ID 83861-2247
Phone: (208) 245-4578
Fax: (208) 245-5004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X P8033 Idaho
Pharmacy Service Providers / Pharmacist 183500000X P8033 Idaho

Profile Details

NPI number 1194219634
LBN Legal business name Neibaur, Jeramy Randall
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2018
Last updated Nov 9th, 2022 - about 4 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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