| NPI | 1144890476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN TRONE President/Pharmd 208-571-6434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-06-29 |