NPI | 1235980699 |
---|---|
Doing Business As | HEARTLAND PHARMACY - BOISE |
Entity Type | Organization |
Authorized Contact | REECE CHRISTENSEN President/Owner 208-497-3575 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2024-04-01 |
Last Update Date | 2024-04-01 |