Komoda, Shane Kazuo
Komoda, Shane Kazuo is an sole proprietor health care provider with primary practice located at 500 W Fort St , Boise ID 83702-4501. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Komoda, Shane Kazuo can be contacted via phone (208) 422-1000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P5938 | Idaho |
Profile Details
| NPI number | 1497895353 |
|---|---|
| LBN Legal business name | Komoda, Shane Kazuo |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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