| NPI | 1063563815 |
|---|---|
| Doing Business As | OWL VALLEY MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRIAN MORGAN AUER Secretary 208-750-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID 1351CP) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |