De Raya, Jianne Castelo

De Raya, Jianne Castelo is an sole proprietor health care provider with primary practice located at 100 E Idaho St , Boise ID 83712-6267. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Oncology, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Oncology is her primary health care specialty. De Raya, Jianne Castelo can be contacted via phone (240) 910-0162.

Contact Information

Primary practice address
100 E Idaho St Boise ID 83712-6267
Phone: (240) 910-0162
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Oncology 1835X0200X P10018 Idaho
Pharmacy Service Providers / Pharmacist 183500000X S025358 Arizona

Profile Details

NPI number 1710610308
LBN Legal business name De Raya, Jianne Castelo
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2022
Last updated Jul 1st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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