Mary Thibodeau, PHARMD

Individual Active
NPI 1821474818
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Coeur D Alene, ID

NPI 1821474818 belongs to Mary Thibodeau, PHARMD, a pharmacist clinician (phc)/ clinical pharmacy specialist with a practice location in Coeur D Alene, ID. The NPI was issued on August 3, 2015, and the record was last updated in NPPES on September 17, 2025. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018X P8107 (ID)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH60020486 (WA)

Practice location

700 W Ironwood Dr Ste 228
Coeur D Alene, ID 83814-4473
Phone: (208) 625-5672

Local context

Active NPPES records list 20 providers with pharmacist clinician (phc)/ clinical pharmacy specialist as the primary taxonomy within 25 miles of this practice location's ZIP code, 10 of them within 10 miles.

The same primary taxonomy is listed by 98 in Idaho and 16,327 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mary Thibodeau
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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