| NPI | 1164451126 |
|---|---|
| Doing Business As | TOM THUMB PHARMACY #3579 |
| Entity Type | Organization |
| Authorized Contact | TIFFANY ELIOPULOS Assistant Manager, Enrollments 208-395-3906 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TX 22125) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2018-10-03 |