IndividualActive
Gregory Carter
NPI 1093314866 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Idaho Falls, ID
Provider details
- NPI number
- 1093314866
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- P7082 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2327 Coronado St
Idaho Falls, ID 83404-7407
Phone: (208) 528-1000
Approximate (ZIP-level) locationGet directions
Mailing address
707 Brigham Dr
Idaho Falls, ID 83402-4775
Registry dates
- Enumerated
- 2020-10-22
- Last updated
- 2020-10-22
- Certified
- 2020-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.