IndividualActive
Jordin Millward, PHARMD
NPI 1003477415 · Pharmacotherapy Pharmacist · Pocatello, ID
Provider details
- NPI number
- 1003477415
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- P8363 (ID)
Mailing address
465 Memorial Dr
Pocatello, ID 83201-4008
Registry dates
- Enumerated
- 2019-06-26
- Last updated
- 2019-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.