Individual
BRENT HIROSHI SASAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
500 WEST FORT STREET (119), BOISE, ID 83702
(208) 422-1000
(208) 422-1198
Mailing address
500 WEST FORT STREET (119), BOISE, ID 83702
(208) 422-1000
(208) 422-1198
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7556
ID
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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