IndividualActive
Carrie Edmonds
NPI 1003503400 · Pharmacy Technician · Boise, ID
Provider details
- NPI number
- 1003503400
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- CT20468 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
7020 W State St
Boise, ID 83714-7419
Phone: (208) 853-3503
Fax: (208) 853-4328
Approximate (ZIP-level) locationGet directions
Mailing address
7020 W State St
Boise, ID 83714-7419
Registry dates
- Enumerated
- 2023-04-18
- Last updated
- 2023-04-18
- Certified
- 2023-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.