IndividualActive
Bradley Owens, PHARM D
NPI 1174914121 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Ponderay, ID
Provider details
- NPI number
- 1174914121
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARM D
- Sex
- Male
- Sole proprietor
- No
- License
- P7216 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
30410 Highway 200
Ponderay, ID 83852-9601
Phone: (208) 263-7101
Approximate (ZIP-level) locationGet directions
Mailing address
421 S Boyer Ave
Sandpoint, ID 83864-1101
Registry dates
- Enumerated
- 2015-02-12
- Last updated
- 2015-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.