IndividualActive
Billy Jenkins
NPI 1053894428 · Pharmacy Technician · Lewiston, ID
Provider details
- NPI number
- 1053894428
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 1225043342 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2102 Nez Perce Dr
Lewiston, ID 83501-4116
Phone: (208) 743-4434
Fax: (208) 743-9422
Approximate (ZIP-level) locationGet directions
Mailing address
2102 Nez Perce Dr
Lewiston, ID 83501-4116
Registry dates
- Enumerated
- 2018-09-12
- Last updated
- 2018-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.