NPI | 1255159802 |
---|---|
Doing Business As | BINGHAM HEALTHCARE PHARMACY |
Entity Type | Organization |
Authorized Contact | JACOB ERICKSON CEO 208-785-3801 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2024-10-02 |
Last Update Date | 2024-10-02 |