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Contact Information

CHARLES PAINTER
250 E PARKCENTER BLVD
BOISE, ID83706-3940
 Phone: 208-395-5561
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy Technician

183700000X
Indicates primary specialty

NPI Profile & details for CHARLES PAINTER · (Male)

NPI Number 1093355224
Status Active
Credentials
Entity Individual
Enumeration date 01/15/2020
Last updated 06/30/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • CO License # PHAT.0019006
  • ID License # CT61906
  • TX License # 166837
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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