IndividualActive
Amanda Wray, RPH
NPI 1023504651 · Pharmacist · Blackfoot, ID
Provider details
- NPI number
- 1023504651
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- No
- License
- P7045 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
98 Poplar St
Blackfoot, ID 83221-1758
Phone: (208) 782-2990
Fax: (208) 782-2931
Approximate (ZIP-level) locationGet directions
Mailing address
1585 Kates Way
Pocatello, ID 83204-4606
Registry dates
- Enumerated
- 2018-07-06
- Last updated
- 2018-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.