IndividualActive
Kathleen Widmyer, RPH
NPI 1205376456 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Coeur D Alene, ID
Provider details
- NPI number
- 1205376456
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- Yes
- License
- P5081 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
700 W Ironwood Dr Ste 246
Coeur D Alene, ID 83814-4473
Phone: (208) 625-5688
Fax: (208) 625-5687
Approximate (ZIP-level) locationGet directions
Mailing address
700 W Ironwood Dr Ste 246
Coeur D Alene, ID 83814-4473
Registry dates
- Enumerated
- 2017-03-06
- Last updated
- 2017-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.