SearchIdahoCommunity/Retail Pharmacy

Ashley Otis

NPI 1134711419 · on the registry since 2021 · sole proprietor

Practice

Address
4257 Yellowstone Ave
Chubbuck, ID 83202
Phone
(208) 237-3940
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Community/Retail Pharmacy
3336C0003X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-02-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho