Healthcare Provider Details

I. General information

NPI: 1629417720
Provider Name (Legal Business Name): RACHEL CRAFTS ARMSTRONG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2013
Last Update Date: 06/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 S ARTHUR AVE
POCATELLO ID
83204-3201
US

IV. Provider business mailing address

231 S ARTHUR AVE
POCATELLO ID
83204-3201
US

V. Phone/Fax

Practice location:
  • Phone: 208-233-2444
  • Fax: 208-233-3439
Mailing address:
  • Phone: 208-233-2444
  • Fax: 208-233-3439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberP5522
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: