BILLIE-LEE JESSE FRUIT CPhT
Individual Provider (NPI-1)
Active
Pharmacy Technician
Provider Information
- NPI Number
1386229235- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CPhT
- Status
- Active
Contact & Location
- Address
- 4300 E FLAMINGO AVE, NAMPA, ID, 836873138
- Phone
- (208) 830-9302
Specialties & Taxonomies
Pharmacy Technician
Primary License: ID
All Addresses
MAILING
517 ROOSTER LN APT 201
CALDWELL, ID, 836051225