SearchIdahoPharmacist

Roger Mangum, RPH

NPI 1437434784 · on the registry since 2011

Practice

Address
335 W Appleway Ave
Coeur D Alene, ID 83814
Phone
(208) 765-1254
Fax
(208) 765-1303
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

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
2011-10-19

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