SearchIdahoPharmacist

Jared Lyon, PHARMD., RPH

NPI 1912304049 · on the registry since 2014

Practice

Address
3160 E 17th St Ste 164
Ammon, ID 83406
Phone
(208) 529-1795
Organisation at this address
Optical Illusions Inc
Teton Pharmacy In Ammon
Broulim Supermarkets, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Pharmacist
183500000X
Also registered as
Pharmacist
Pharmacist
Licence states on file
WA, UT, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-01-27

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