Jason Ebrahimpour

NPI #1013306968 in Caldwell, Idaho

Provider Information

NPI Number: 1013306968
Entity Type: Individual
Name: Jason Ebrahimpour
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jan 15, 2015
Last Updated: Jan 15, 2015

Practice Location

Address: 425 N 10TH AVE
City: Caldwell
State: Idaho
ZIP Code: 83605-3402
Phone: (208) 454-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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