OrganizationActive
Aviva Northwest, PLLC
NPI 1225847643 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Coeur D Alene, ID
Provider details
- NPI number
- 1225847643
- Entity type
- Organization
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Authorized official
- Jennifer Taylor, Owner
Practice location
301 N 1st St Apt 416
Coeur D Alene, ID 83814-2845
Phone: (509) 688-6023
Fax: (509) 231-7045
Mailing address
301 N 1st St Apt 416
Coeur D Alene, ID 83814-2845
Registry dates
- Enumerated
- 2024-12-31
- Last updated
- 2025-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.