IndividualActive
Jose De Soto, CPHT
NPI 1538028592 · Pharmacy Technician · Idaho Falls, ID
Provider details
- NPI number
- 1538028592
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Credential
- CPHT
- Sex
- Male
- Sole proprietor
- No
- License
- T64359 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2325 Coronado St
Idaho Falls, ID 83404-7407
Phone: (208) 557-2738
Approximate (ZIP-level) locationGet directions
Mailing address
2325 Coronado St
Idaho Falls, ID 83404-7407
Registry dates
- Enumerated
- 2026-01-16
- Last updated
- 2026-01-16
- Certified
- 2026-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.