MR. Jason Komoda, RPH

NPI #1912292764 in Nampa, Idaho

Provider Information

NPI Number: 1912292764
Entity Type: Individual
Name: MR. Jason Komoda, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jun 9, 2011
Last Updated: Jun 9, 2011

Practice Location

Address: 16300 N MARKET PLACE BLVD
City: Nampa
State: Idaho
ZIP Code: 83687-7910
Phone: (208) 465-6801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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