NPI | 1083794598 |
---|---|
Other Name | PHARMACY |
Entity Type | Organization |
Authorized Contact | BRIAN LANNIE CHECKETTS CFO And Board Member 208-367-7347 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: ID 2) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2023-01-24 |