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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, LlcInferred 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