| NPI | 1295589794 |
|---|---|
| Doing Business As | MIKE'S PHARMACY AND COMPOUNDING |
| Entity Type | Organization |
| Authorized Contact | CHAD MERRILL Owner 208-525-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2025-10-09 |