Blake Nielsen, PHARMD

NPI 1801359179 · on the registry since 2019

Practice

Address: 1611 Blue Lakes Blvd N
Twin Falls, ID 83301
Phone: (208) 736-3321
Organisation at this address: Idaho Cvs Pharmacy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Additional practice sites

550 W Idaho St, Elko, NV

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: 2019-04-12

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