Blake Sommers Nielsen, PHARMD Valid NPI
Individual provider · Pharmacist · Twin Falls, ID
- NPI
- 1801359179
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- P8325 (ID)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-04-12
- Last updated
- 2019-04-12
Practice location
1611 Blue Lakes Blvd N
Twin Falls, ID 83301-3374
(208) 736-3321