IndividualActive
Mary Thibodeau, PHARMD
NPI 1821474818 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Coeur D Alene, ID
Provider details
- NPI number
- 1821474818
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- PH60020486 (WA)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
700 W Ironwood Dr Ste 228
Coeur D Alene, ID 83814-4473
Phone: (208) 625-5672
Fax: (208) 625-6488
Approximate (ZIP-level) locationGet directions
Mailing address
700 W Ironwood Dr Ste 228
Coeur D Alene, ID 83814-4473
Registry dates
- Enumerated
- 2015-08-03
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.