Alex Wald

NPI 1295101400 · on the registry since 2015

Practice

Address: 149 W State St Ste 101
Eagle, ID 83616
Phone: (208) 939-8008
Organisation at this address: Customedica Pharmacy Inc
Customedica Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

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: 2023-07-19

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