IndividualActive
Ayano Mizote, PHARM.D
NPI 1770834301 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Pocatello, ID
Provider details
- NPI number
- 1770834301
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARM.D
- Sex
- Female
- Sole proprietor
- No
- License
- P7505 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
800 Yellowstone Ave
Pocatello, ID 83201-4433
Phone: (208) 239-4033
Fax: (208) 239-4027
Approximate (ZIP-level) locationGet directions
Mailing address
800 Yellowstone Ave
Pocatello, ID 83201-4433
Registry dates
- Enumerated
- 2012-09-21
- Last updated
- 2026-05-16
- Certified
- 2026-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.