IndividualActive
Wade Flowers, PHARM.D., BCPS, CGP
NPI 1609871474 · Pharmacotherapy Pharmacist · Blackfoot, ID
Provider details
- NPI number
- 1609871474
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARM.D., BCPS, CGP
- Sex
- Male
- Sole proprietor
- Yes
- License
- P4656 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
98 Poplar St
Blackfoot, ID 83221-1758
Phone: (208) 782-3770
Fax: (208) 782-3709
Approximate (ZIP-level) locationGet directions
Mailing address
13103 W Reservation Rd
Pocatello, ID 83202-5129
Registry dates
- Enumerated
- 2005-06-16
- Last updated
- 2010-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.