Search › Idaho › 183500000X
Wynnona Warren, PHARMD
NPI 1790032431 · on the registry since 2012
Practice
- Address
- 911 North Main Street
Pocatello, ID 83204 - Phone
- (208) 478-8510
- Fax
- (208) 235-1328
- Organisation at this address
- Ridley'S Family Markets, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- ID, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-12-13
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