NPI | 1144356494 |
---|---|
Doing Business As | NORTHWEST PHARMACY |
Entity Type | Organization |
Authorized Contact | WIL O EDWARDS Pharmacist 208-875-1212 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
Additional Taxonomies | 261QI0500X Clinic/Center Infusion Therapy |
291U00000X Clinical Medical Laboratory | |
333600000X Pharmacy (Licence: ID 814CP) | |
3336S0011X Pharmacy Specialty Pharmacy | |
Enumeration Date | 2007-02-23 |
Last Update Date | 2024-04-26 |