IndividualActive
Alicia Gonzalez
NPI 1003430943 · Pharmacy Technician · Weiser, ID
Provider details
- NPI number
- 1003430943
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- CT17935 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1545 E 6th St
Weiser, ID 83672-1495
Phone: (208) 549-8777
Approximate (ZIP-level) locationGet directions
Mailing address
1545 E 6th St
Weiser, ID 83672-1495
Registry dates
- Enumerated
- 2020-06-06
- Last updated
- 2020-06-06
- Certified
- 2020-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.