IndividualActive
Andrew Voltura, PHARMD
NPI 1104193796 · Pharmacist · Idaho Falls, ID
Provider details
- NPI number
- 1104193796
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- P5142 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1850 W Broadway St
Idaho Falls, ID 83402-3044
Phone: (208) 522-4655
Fax: (208) 522-6670
Approximate (ZIP-level) locationGet directions
Mailing address
1850 W Broadway St
Idaho Falls, ID 83402-3044
Registry dates
- Enumerated
- 2011-11-26
- Last updated
- 2011-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.