NPI 1003475443

Casey Haycock, CPHT

Practitioner Pharmacy Technician Boise, ID

Practice location

Address: 10500 W Overland Rd, Boise, ID 83709-1435
Phone: (208) 376-4101

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence CT20939 (ID)

Other Pharmacy Technician providers in Idaho →

Registry record

NPI: 1003475443
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2019
Record last updated: 10 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.