Search › Idaho › 183500000X
Jacob Cottam, PHARMD
NPI 1538417084 · on the registry since 2012
Practice
- Address
- 3475 E 17th St
Ammon, ID 83406 - Phone
- (208) 227-5083
- Fax
- (208) 227-5087
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
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
- 2012-08-15
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