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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JASON EBRAHIMPOUR

Active Sole Proprietor

JASON EBRAHIMPOUR is a Pharmacist healthcare provider located in CALDWELL, Idaho. NPI 1013306968 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · CALDWELL, ID

Registration Details

NPI Number
1013306968
Provider Type
Individual
Gender
Male
NPI Issued
Jan 15, 2015 (11.570213736983 yrs)
Last Updated
Jan 15, 2015
License
P6484 (ID)
Sole Proprietor
Yes

Practice Information

Address
425 N 10TH AVE
CALDWELL, ID, 836053402
Browse ID providers · Browse ZIP 83605
Phone
2084541111
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in CALDWELL, ID

Name Credential NPI
DR. TYLER CARL HIGGINS PHARMD 1740312859
ELIZABETH EGGLESTON PHARM D. 1336314921
MR. JAMES D NELSON RPH 1033377189
ROBERT W MICKELSON 1205135498
MRS. NANCY A LINDBERG RPH 1124314927
MR. RAYMOND JOFFER RPH 1326335746
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.