IndividualActive
Jim Nguyen, PHARMD
NPI 1407071277 · Pharmacotherapy Pharmacist · Boise, ID
Provider details
- NPI number
- 1407071277
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- P5658 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2490
Approximate (ZIP-level) locationGet directions
Mailing address
3882 W Teter St
Meridian, ID 83642-3976
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.