Individual
DR. ZEBULON C GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
545 SHOUP AVE STE 224, IDAHO FALLS, ID 83402-3482
(208) 528-3939
(208) 216-0230
Mailing address
545 SHOUP AVE STE 224, IDAHO FALLS, ID 83402-3482
(208) 528-3939
(208) 216-0230
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
4543
WY
183500000X
Pharmacist
Primary
P10481
ID
183500000X
Pharmacist
PHA-PHA-LIC-117474
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1368744
NABP
—
Enumeration date
05/19/2022
Last updated
02/06/2026
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