Haycock, Casey

Haycock, Casey is an sole proprietor health care provider with primary practice located at 10500 W Overland Rd , Boise ID 83709-1435. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Haycock, Casey can be contacted via phone (208) 376-4101.

Contact Information

Primary practice address
10500 W Overland Rd Boise ID 83709-1435
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X CT20939 Idaho

Profile Details

NPI number 1003475443
LBN Legal business name Haycock, Casey
Credentials CPHT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2019
Last updated Jun 10th, 2019 - about 5 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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