SearchIdahoPharmacist

Travis Walthall, RPH

NPI 1144566894 · on the registry since 2012

Practice

Address
173 W 4th St
Kuna, ID 83634
Phone
(208) 922-4400
Fax
(208) 922-4499
Organisation at this address
Custom Rx
Crx Health Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Pharmacist
183500000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-12-28

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