John Willis

Pharmacist · Bonners Ferry, ID

Individual Active NPI

NPI number 1619393493

Practice location

6452 Main St
Bonners Ferry, ID 83805-8520
Phone
(208) 267-4021
Fax
(208) 267-4024

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NPI record

NPI
1619393493
Entity type
Individual (Type 1)
Enumeration date
March 17, 2014
Last updated
May 25, 2022
Certified
May 25, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 12477 MT

About John Willis

John Willis is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 6452 Main St, Bonners Ferry, ID 83805-8520. The NPI number 1619393493 was assigned on March 17, 2014 and the record was last updated on May 25, 2022.

John Willis lists a license in the registry: #12477 (MT) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Willis?

The NPI number is 1619393493.

What is the phone number of John Willis?

The phone number listed for the practice location is (208) 267-4021.

Where is John Willis located?

6452 Main St, Bonners Ferry, ID 83805-8520.

What is the taxonomy code for John Willis?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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