| NPI | 1154745735 |
|---|---|
| Doing Business As | SID'S LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WIL EDWARDS Owner 208-875-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WA Phar.cf.60432154) |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2023-02-16 |