Most Relevant Information
Provider Data
| NPI Number: | 1003503400 |
| Provider Name: | CARRIE ANN EDMONDS |
| Entity Type: | Individual |
| Taxonomy Code: | 183700000X |
| Specialty: | Pharmacy Technician |
| License Number: | CT20468 |
Most Important Dates
| Enumeration Date: | 04/18/2023 |
| Last Updated: | 04/18/2023 |
Provider Practice Location
7020 W STATE ST
BOISE
ID
837147419
Practice Location Phone/Fax
| Phone: | 2088533503 |
| Fax: | 2088534328 |
Provider Mailing Location
7020 W STATE ST
BOISE
ID
837147419
Provider Mailing Phone/Fax
| Phone: | 2088533503 |
| Fax: | 2088534328 |