SearchIdaho183500000X

Johan Van Niekerk, RPH

NPI 1821264219 · on the registry since 2008

Practice

Address
715 12th Ave S
Nampa
Nampa, ID 83651
Phone
(208) 466-3592
Organisation at this address
Albertsons Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

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
2008-05-05

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