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NPI Code Detail

MEDICARE: SEAN WEBER PHARMD

MEDICARE: SEAN WEBER PHARMD
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
1183500000XPharmacistP6955ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P6955OTHERIDIDAHO STATE BOARD OF PHARMACY

General Provider Information

NPI Number : 1558750521
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN WEBER PHARMD
Provider Business Mailing Address
First Line : 711 N CURTIS RD
Second Line :
City : BOISE
State : ID
Zip : 83706-1445
Country : US
Telephone Number : 208-605-3081
Fax Number :
Provider Business Practice Location Address
First Line : 711 N CURTIS RD
Second Line :
City : BOISE
State : ID
Zip : 83706-1445
Country : US
Telephone Number : 208-605-3081
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2015
Last Update Date : 01/05/2025

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Directions to “ SEAN WEBER PHARMD” Practice Location

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