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Search › Idaho › Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Ayano Mizote, PHARM.D

NPI 1770834301 · on the registry since 2012

Practice

Address
800 Yellowstone Ave
Pocatello, ID 83201
Phone
(208) 239-4033
Fax
(208) 239-4027
Organisation at this address
Fred Meyer Stores Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
1835P0018X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-16

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