| NPI | 1104938042 |
|---|---|
| Doing Business As | WELL LIFE BOUNDARY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFF FOSTER Owner 208-267-4004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 1386RP) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-02-03 |