Individual
CHARLES PAINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
(208) 395-5561
Mailing address
8633 W FALLING STAR ST, BOISE, ID 83709-6368
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
166837
TX
183700000X
Pharmacy Technician
CT61906
ID
183700000X
Pharmacy Technician
PHAT.0019006
CO
Other
Enumeration date
01/15/2020
Last updated
06/30/2025
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