IndividualActive
Jessica Litke
NPI 1609281484 · Pharmacotherapy Pharmacist · Boise, ID
Provider details
- NPI number
- 1609281484
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- P6817 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
500 W Fort St
Boise, ID 83702-4501
Phone: (916) 215-2148
Approximate (ZIP-level) locationGet directions
Mailing address
4650 E Tanoak Dr
Boise, ID 83716-7032
Registry dates
- Enumerated
- 2014-06-30
- Last updated
- 2026-03-05
- Certified
- 2026-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.