Casey Haycock, CPHT

NPI #1003475443 in Boise, Idaho

Provider Information

NPI Number: 1003475443
Entity Type: Individual
Name: Casey Haycock, CPHT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacy Technician
Credential: CPHT
Enumeration Date: Jun 10, 2019
Last Updated: Jun 10, 2019

Practice Location

Address: 10500 W OVERLAND RD
City: Boise
State: Idaho
ZIP Code: 83709-1435
Phone: (208) 376-4101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy Technician	183700000X	Primary

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