IndividualActive
Teresa Newsom, RPH
NPI 1417595067 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Boise, ID
Provider details
- NPI number
- 1417595067
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- No
- License
- P4867 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2840 S Swallowtail Ln
Boise, ID 83706-6138
Phone: (208) 244-2094
Approximate (ZIP-level) locationGet directions
Mailing address
2840 S Swallowtail Ln
Boise, ID 83706-6138
Registry dates
- Enumerated
- 2019-12-13
- Last updated
- 2019-12-13
- Certified
- 2019-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.