| NPI | 1285762542 |
|---|---|
| Doing Business As | MIKES PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MERRILL Owner 208-525-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 703RP) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2016-11-10 |