| NPI | 1245300797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM HAYS CEO 208-882-5536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA 600350060) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |