Individual
MR. BRETT E. HANEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH, BCPP
Contact information
Practice address
16788 W HOLLISTER HILLS DR, HAUSER, ID 83854-6588
(208) 773-2412
Mailing address
16788 W HOLLISTER HILLS DR, HAUSER, ID 83854-6588
(208) 773-2412
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
P4601
ID
1835P1300X
Psychiatric Pharmacist
PH00016660
WA
Other
Enumeration date
07/05/2005
Last updated
07/08/2007
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