| NPI | 1073835591 |
|---|---|
| Doing Business As | KOOTENAI CLINICS CANCER SERVICES PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JON NESS CEO 208-625-5081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: ID 1198LS) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2024-01-05 |