IndividualActive
Gregory Wilding, PHARMD
NPI 1619254604 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Burley, ID
Provider details
- NPI number
- 1619254604
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- P9819 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
937 E Main St
Burley, ID 83318-2035
Phone: (208) 678-3286
Fax: (801) 678-1679
Approximate (ZIP-level) locationGet directions
Mailing address
937 E Main St
Burley, ID 83318-2035
Additional practice locations (1)
- 1913 Addison Ave ETwin Falls, ID 83301-5304Phone: (208) 734-4581Fax: (208) 736-7144
Registry dates
- Enumerated
- 2011-11-04
- Last updated
- 2026-06-06
- Certified
- 2026-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.