Tyson Spencer, PHARM D

NPI 1164705497 · on the registry since 2011

Practice

Address: 305 W Quinn Rd
Pocatello, ID 83201
Phone: (208) 238-4049
Fax: (208) 238-4046
Organisation at this address: Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-09-22

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