Jacalyn Iliff, PHARMD

NPI 1992091649 · on the registry since 2011 · sole proprietor

Practice

Address: 5875 E Franklin Rd
Nampa, ID 83687
Phone: (208) 461-8718
Fax: (208) 461-8720
Organisation at this address: Walmart Inc.
Wal-Mart Stores, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 183500000X
183500000X
Also registered as: 183500000X
183500000X
Licence states on file: MT, WY, ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-04-07

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