IndividualActive
Keith Yamabe, PHARMD
NPI 1639837222 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Idaho Falls, ID
Provider details
- NPI number
- 1639837222
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- P9707 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2250 Coronado St Ste a
Idaho Falls, ID 83404-7552
Phone: (208) 542-4140
Fax: (208) 523-4203
Approximate (ZIP-level) locationGet directions
Mailing address
2250 Coronado St Ste a
Idaho Falls, ID 83404-7552
Registry dates
- Enumerated
- 2021-12-01
- Last updated
- 2021-12-01
- Certified
- 2021-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.