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Alex Wald — NPI 1295101400, Eagle, ID | NPI Central

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NPI 1295101400

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Alex Wald

NPI 1295101400 · Pharmacist · Eagle, ID

Provider details

NPI number: 1295101400
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Sex: Male
Sole proprietor: No
License: CS39582 (ID)

Practice location

149 W State St Ste 101

Eagle, ID 83616-4911

Phone: (208) 939-8008

More ID providers

Mailing address

149 W State St Ste 101

Eagle, ID 83616-4911

Registry dates

Enumerated: 2015-08-12
Last updated: 2023-07-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.