IndividualActive
Casey Haycock, CPHT
NPI 1003475443 · Pharmacy Technician · Boise, ID
Provider details
- NPI number
- 1003475443
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Credential
- CPHT
- Sex
- Male
- Sole proprietor
- Yes
- License
- CT20939 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
10500 W Overland Rd
Boise, ID 83709-1435
Phone: (208) 376-4101
Approximate (ZIP-level) locationGet directions
Mailing address
10500 W Overland Rd
Boise, ID 83709-1435
Registry dates
- Enumerated
- 2019-06-10
- Last updated
- 2019-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.