Casey Haycock, CPHT

NPI 1003475443 · on the registry since 2019 · sole proprietor

Practice

Address: 10500 W Overland Rd
Boise, ID 83709
Phone: (208) 376-4101
Organisation at this address: Albertsons Llc
1918 Winter Street Operating Co Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Pharmacy Technician
183700000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho