IndividualActive
Clayton Rickles, PHARMD
NPI 1275271397 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Meridian, ID
Provider details
- NPI number
- 1275271397
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- P10011 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
520 S Eagle Rd
Meridian, ID 83642-6351
Phone: (208) 706-5000
Approximate (ZIP-level) locationGet directions
Mailing address
12715 N 10th Ave
Boise, ID 83714-9333
Registry dates
- Enumerated
- 2022-05-27
- Last updated
- 2022-05-27
- Certified
- 2022-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.