Jacob Stutzer, PHARMACIST

NPI 1326655028 · on the registry since 2020 · sole proprietor

Practice

Address: 90 Hope Dr
Mountain Home Afb, ID 83648
Phone: (208) 828-7521
Organisation at this address: Mt Home Refill Phcy
366th Medical Group Sgsl
366th Medgrp-Mountain Home
366th Medgrp-Mountain Home
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 90

Registry record

Primary taxonomy: 183500000X
183500000X
Also registered as: 183500000X
Licence states on file: WA, ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-04-16

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