MEDICARE: DR. JEREMY ALAN HUNTER PHARM. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	P6200	ID
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	P6200	ID

General Provider Information

NPI Number	:	1205064342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEREMY ALAN HUNTER PHARM. D.

Provider Business Mailing Address
First Line	:	306 BLUE LAKES BLVD N
Second Line	:
City	:	TWIN FALLS
State	:	ID
Zip	:	83301-4827
Country	:	US
Telephone Number	:	208-734-4053
Fax Number	:

Provider Business Practice Location Address
First Line	:	731 POLE LINE RD
Second Line	:
City	:	TWIN FALLS
State	:	ID
Zip	:	83301-3036
Country	:	US
Telephone Number	:	208-736-1725
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2009
Last Update Date	:	05/17/2024

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