IndividualActive
Isaac Mcconnell
NPI 1508558479 · Pharmacy Technician · Caldwell, ID
Provider details
- NPI number
- 1508558479
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Pharmacy Service Providers
- Pharmacy Technician183700000X
Pharmacy Service Providers
Practice location
2107 Blaine St
Caldwell, ID 83605
Phone: (208) 455-1094
Fax: (208) 455-1097
Approximate (ZIP-level) locationGet directions
Mailing address
2107 Blaine St
Caldwell, ID 83605-4427
Registry dates
- Enumerated
- 2023-05-22
- Last updated
- 2023-05-22
- Certified
- 2023-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.