| NPI | 1073133328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOTAL RX Owner 208-452-7075 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2021-11-08 |