| NPI | 1205972817 |
|---|---|
| Doing Business As | HYWAY DRUG |
| Entity Type | Organization |
| Authorized Contact | STEPHEN FOGG Manager 208-522-8357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 214RP) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2014-12-22 |