| NPI | 1134391121 |
|---|---|
| Doing Business As | LADD FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEREMY LUNDEVALL COO 208-947-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 38076RP) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2008-03-30 |
| Last Update Date | 2017-08-01 |