SearchIdahoPharmacist

Jason Komoda, RPH

NPI 1912292764 · on the registry since 2011 · sole proprietor

Practice

Address
16300 N Market Place Blvd
Nampa, ID 83687
Phone
(208) 465-6801
Fax
(208) 465-6811
Clinicians at this address
4

Registry record

Primary taxonomy
Pharmacist
183500000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-06-09

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