| NPI | 1194345199 |
|---|---|
| Doing Business As | KOOTENAI HEALTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JON NESS CEO 208-625-5081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2024-01-05 |