Provider Demographics
NPI:1912314634
Name:MORABITO, BRIANNA (PHARMD,, MSCR, BCPS)
Entity Type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:
Last Name:MORABITO
Suffix:
Gender:F
Credentials:PHARMD,, MSCR, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W. FORT STREET
Mailing Address - Street 2:M/S CRH
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704
Mailing Address - Country:US
Mailing Address - Phone:082-422-1000
Mailing Address - Fax:
Practice Address - Street 1:500 W. FORT STREET
Practice Address - Street 2:M/S CRH
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704
Practice Address - Country:US
Practice Address - Phone:208-422-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-15
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC356341835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric