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Search › Idaho › 183500000X

Edward Walthall, PHARMD

NPI 1952040461 · on the registry since 2022

Practice

Address
173 W 4th St
Kuna, ID 83634
Phone
(208) 922-4400
Organisation at this address
Custom Rx
Crx Health Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

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
2022-06-02

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