IndividualActive
Charles Painter
NPI 1093355224 · Pharmacy Technician · Boise, ID
Provider details
- NPI number
- 1093355224
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- CT61906 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
250 E Parkcenter Blvd
Boise, ID 83706-3940
Phone: (208) 395-5561
Approximate (ZIP-level) locationGet directions
Mailing address
8633 W Falling Star St
Boise, ID 83709-6368
Registry dates
- Enumerated
- 2020-01-15
- Last updated
- 2025-06-30
- Certified
- 2025-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.