Individual
DR. WADE H FLOWERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D., BCPS, CGP
Contact information
Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 782-3770
(208) 782-3709
Mailing address
13103 W RESERVATION RD, POCATELLO, ID 83202-5129
(208) 238-1281
(208) 782-3709
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
P4656
ID
1835P1200X
Pharmacotherapy Pharmacist
Primary
P4656
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1381
CGP
ID
01
—
3 08 010444
BCPS
ID
Enumeration date
06/16/2005
Last updated
04/01/2010
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