Individual
JOHN MICHAEL AMINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
2790 W CHERRY LN STE 100, MERIDIAN, ID 83642-1102
(208) 288-1496
(208) 288-1812
Mailing address
4722 N EAGLE POINTE PL, STAR, ID 83669-5361
(208) 954-0309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH 00016378
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
P6728
ID
1835P1200X
Pharmacotherapy Pharmacist
P6728
ID
1835P1200X
Pharmacotherapy Pharmacist
PH 00016378
WA
Other
Enumeration date
12/29/2006
Last updated
12/13/2018
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