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

Siarra Diane Gundersen

Individual provider Pharmacy Technician · NPI 1992536098

Siarra Diane Gundersen is a Pharmacy Technician in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2024.

Licensed in
ID
In the registry since
2024
Specialties on file
2

Practice location Address checks out

921 S 8th Ave Stop 8253
Pocatello, ID 83209-0002
Phone: (208) 282-4726
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Pharmacy Technician Taxonomy 183700000X · Licence CT74692 (ID)

Record details

NPI number1992536098
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 10, 2024
Last updated in NPPESAugust 10, 2024
Certification dateAugust 10, 2024
Mailing address921 S 8th Ave Stop 8253, Pocatello, ID 83209-0002

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