Nickolas David Wynn, PHARMD Valid NPI
Individual provider · Pharmacist · Twin Falls, ID
- NPI
- 1962981092
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- P8038 (ID)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-08-09
- Last updated
- 2018-08-09
Practice location
1649 Pole Line Rd E
Twin Falls, ID 83301-8397
(208) 734-3791