IndividualActive
Jerry Holland, PHARMD
NPI 1487953816 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Pocatello, ID
Provider details
- NPI number
- 1487953816
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- P5677 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
800 Yellowstone Ave
Pocatello, ID 83201-4433
Phone: (208) 239-4033
Fax: (208) 239-4027
Approximate (ZIP-level) locationGet directions
Mailing address
800 Yellowstone Ave
Pocatello, ID 83201-4433
Registry dates
- Enumerated
- 2011-03-24
- Last updated
- 2026-05-27
- Certified
- 2026-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.