SHANE KAZUO KOMODA

BOISE, ID
NPI1497895353
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P5938)
Enumeration Date2007-02-08
Last Update Date2007-07-08
Business Address
Dr. SHANE KAZUO KOMODA Pharm.D.
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
Mailing Address
Dr. SHANE KAZUO KOMODA Pharm.D.
2693 E JULIET DR
MERIDIAN, ID 83642-5092
Phone number: 208-830-7711
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