| NPI | 1295832574 |
|---|---|
| Doing Business As | DICK'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DANIEL SCOTT FUCHS Member 208-734-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 1307CP) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID 1307CP) |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: ID 1307CP) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-04-25 |