| NPI | 1073800314 |
|---|---|
| Doing Business As | JEROME DRUG |
| Entity Type | Organization |
| Authorized Contact | DANIEL FUCHS Member/R Ph 208-735-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 17019RP) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2016-03-29 |