DR. Jason Andrew Tominaga

NPI #1164793766 in Boise, Idaho

Provider Information

NPI Number: 1164793766
Entity Type: Individual
Name: DR. Jason Andrew Tominaga
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jan 13, 2012
Last Updated: Jan 13, 2012

Practice Location

Address: 8100 W FAIRVIEW AVE
City: Boise
State: Idaho
ZIP Code: 83704-8425
Phone: (208) 375-2825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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