Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kori Ann Wittrock, PHARMD

Individual provider Pharmacist · NPI 1235653130

Kori Ann Wittrock, PHARMD is a Pharmacist in Pocatello, Idaho. Works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2017
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

465 Memorial Dr
Pocatello, ID 83201-4008
Phone: (208) 234-4700
Fax: (208) 282-4696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 990 S 8th Avenue, Pocatello, ID 83209-4008 — (208) 282-3407

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P7831 (ID)

Record details

NPI number1235653130
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedAugust 1, 2017
Last updated in NPPESMarch 17, 2018

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