NPI 1508558479
Isaac McConnell
Practice location
- Address
- 2107 Blaine St, Caldwell, ID 83605
- Phone
- (208) 455-1094
- Fax
- (208) 455-1097
- Mailing address
- 2107 Blaine St, Caldwell, ID 83605-4427
Registered specialties (2)
Pharmacy Technician
Primary
Pharmacy Technician
Registry record
- NPI
- 1508558479
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 May 2023
- Record last updated
- 22 May 2023
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.