| NPI | 1013527852 |
|---|---|
| Doing Business As | CARRS PHARMACY #1805 |
| Entity Type | Organization |
| Authorized Contact | KATHY GIANNAKOPOULOS Enrollments Manager 208-395-3954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |