IndividualActive
Bridget Moore
NPI 1164047635 · Pharmacy Technician · Weiser, ID
Provider details
- NPI number
- 1164047635
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- TT53978 (ID)
Practice location
1545 E 6th St
Weiser, ID 83672-1495
Phone: (208) 549-8777
Fax: (866) 273-1121
Mailing address
1545 E 6th St
Weiser, ID 83672-1495
Registry dates
- Enumerated
- 2020-06-10
- Last updated
- 2020-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.