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:
Health care specialties
| Specialty | Code | License # | 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 13 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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