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

Tyler Wolfenbarger

Individual provider Pharmacist · NPI 1912689472

Tyler Wolfenbarger is a Pharmacist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2023.

Licensed in
ID
In the registry since
2023
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Practice location Address checks out

1650 W State St
Boise, ID 83702-4040
Phone: (208) 342-5651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P10845 (ID)

Record details

NPI number1912689472
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 3, 2023
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023
Mailing address1650 W State St, Boise, ID 83702-4040

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