SearchIdahoPharmacist

Shane Withers, PHARMD, BCPS

NPI 1336790567 · on the registry since 2019 · sole proprietor

Practice

Address
2495 E Lincoln Rd
Idaho Falls, ID 83401
Phone
(986) 497-3149
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
2

Additional practice sites

  • 933 E Elva St, Idaho Falls, ID

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
2022-04-10

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