SearchIdahoPharmacist

Thomas Vanderholm, PHARMD

NPI 1780170480 · on the registry since 2018

Practice

Address
5453 Highway 2
Priest River, ID 83856
Phone
(208) 448-1633
Organisation at this address
Deblaquiere Enterprises, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

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
2018-07-05

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