Casey Humpherys

NPI #1720335664 in Montpelier, Idaho

Provider Information

NPI Number: 1720335664
Entity Type: Individual
Name: Casey Humpherys
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 9, 2012
Last Updated: Feb 25, 2015

Practice Location

Address: 836 WASHINGTON ST
City: Montpelier
State: Idaho
ZIP Code: 83254-1423
Phone: (208) 847-1421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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