IndividualActive
Tanner Harris
NPI 1508695313 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Twin Falls, ID
Provider details
- NPI number
- 1508695313
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2061873 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1913 Addison Ave E
Twin Falls, ID 83301-5305
Phone: (208) 734-4581
Approximate (ZIP-level) locationGet directions
Mailing address
1913 Addison Ave E
Twin Falls, ID 83301-5305
Registry dates
- Enumerated
- 2024-07-30
- Last updated
- 2024-07-30
- Certified
- 2024-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.