IndividualActive
Cory Welch
NPI 1962041905 · Pharmacotherapy Pharmacist · Meridian, ID
Provider details
- NPI number
- 1962041905
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- P7564 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
520 S Eagle Rd
Meridian, ID 83642-6351
Phone: (208) 706-5000
Approximate (ZIP-level) locationGet directions
Mailing address
520 S Eagle Rd
Meridian, ID 83642-6351
Registry dates
- Enumerated
- 2019-12-21
- Last updated
- 2019-12-21
- Certified
- 2019-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.