| Doctor Name: | TONY DEAN ROST |
| NPI Number: | 1003100116 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPH, CDE |
| License Number: | P4205 |
| Business Practice Address: | 1611 Blue Lakes Blvd N Twin Falls, ID - 833013374 |
| Business Phone Number: | 2087363321 |
| Business Fax Number: | 2087363321 |
| Mailing Address: | 1611 Blue Lakes Blvd N, TWIN FALLS |
| State: | ID |
| Postal Code: | 833013374 |
| Phone Number: | 2087363321 |
| Fax Number: | 2087363321 |
| NPI Enumeration Date: | 06/06/2011 |
| NPI Last Update Date: | 06/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835P0018X |
| License Number: | P4205 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |