| NPI | 1043780356 |
|---|---|
| Doing Business As | DICK'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DANIEL SCOTT FUCHS Member/R Ph 208-734-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |