| NPI | 1245381094 |
|---|---|
| Doing Business As | OWL SOUTHWAY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRIAN MORGAN AUER Secretary 208-743-5528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 778RP) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2019-04-29 |