Individual
BREANNA DEE COMSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERT. PHARMACY TECH
Contact information
Practice address
3301 W CHERRY LN, MERIDIAN, ID 83642-1119
(208) 884-5475
(208) 887-7876
Mailing address
3301 W CHERRY LN, MERIDIAN, ID 83642-1119
(208) 884-5475
(208) 887-7876
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CT1182
ID
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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