Clinton J. Thackeray

Pharmacist · Rigby, ID

Individual Active NPI

NPI number 1780937151

Practice location

150 N State St
Rigby, ID 83442-1443
Phone
(208) 745-0267

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NPI record

NPI
1780937151
Entity type
Individual (Type 1)
Enumeration date
October 22, 2012
Last updated
April 19, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X P6368 ID

About Clinton Thackeray

Clinton J. Thackeray is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 150 N State St, Rigby, ID 83442-1443. The NPI number 1780937151 was assigned on October 22, 2012 and the record was last updated on April 19, 2016.

Clinton Thackeray lists a license in the registry: #P6368 (ID) 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 Clinton J. Thackeray?

The NPI number is 1780937151.

What is the phone number of Clinton Thackeray?

The phone number listed for the practice location is (208) 745-0267.

Where is Clinton Thackeray located?

150 N State St, Rigby, ID 83442-1443.

What is the taxonomy code for Clinton Thackeray?

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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