Individual
ELIZABETH CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2107 BLAINE ST, CALDWELL, ID 83605-4427
(208) 455-1094
Mailing address
3833 E COLLINGWOOD ST # SR, MERIDIAN, ID 83642-5661
(210) 501-3336
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10938
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018NBSA
BASIC LIFE SUPPORT
OR
01
—
P10938
PHARMACIST
—
Enumeration date
09/25/2023
Last updated
09/25/2023
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