Jason Head

NPI #1366868044 in Hayden, Idaho

Provider Information

NPI Number: 1366868044
Entity Type: Individual
Name: Jason Head
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Mar 5, 2014
Last Updated: Mar 5, 2014

Practice Location

Address: 8093 N CORNERSTONE DR
City: Hayden
State: Idaho
ZIP Code: 83835-8753
Phone: (208) 762-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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