Komoda, Jason

Komoda, Jason is an sole proprietor health care provider with primary practice located at 16300 N Market Place Blvd , Nampa ID 83687-7910. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Komoda, Jason can be contacted via phone (208) 465-6801.

Contact Information

Primary practice address
16300 N Market Place Blvd Nampa ID 83687-7910
Phone: (208) 465-6801
Fax: (208) 465-6811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P5939 Idaho

Profile Details

NPI number 1912292764
LBN Legal business name Komoda, Jason
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2011
Last updated Jun 9th, 2011 - about 14 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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