| NPI | 1134783202 |
|---|---|
| Doing Business As | MAAG PRESCRIPTION AND MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN CAROL MAAG Board Of Direction, VP, Treasurer 208-233-2063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |