IndividualActive
Andrew Simnhoung
NPI 1770460826 · Pharmacist · Hayden, ID
Provider details
- NPI number
- 1770460826
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 6671672 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
161 W Prairie Ave
Hayden, ID 83835-8284
Phone: (208) 772-7864
Approximate (ZIP-level) locationGet directions
Mailing address
161 W Prairie Ave
Hayden, ID 83835-8284
Registry dates
- Enumerated
- 2025-08-20
- Last updated
- 2025-08-20
- Certified
- 2025-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.