Nickolas David Wynn, PHARMD

NPI #1962981092 in Twin Falls, Idaho

Provider Information

NPI Number: 1962981092
Entity Type: Individual
Name: Nickolas David Wynn, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 9, 2018
Last Updated: Aug 9, 2018

Practice Location

Address: 1649 POLE LINE RD E
City: Twin Falls
State: Idaho
ZIP Code: 83301-8397
Phone: (208) 734-3791

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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