NPI | 1306464987 |
---|---|
Doing Business As | TOM THUMB PHARMACY #3311 |
Entity Type | Organization |
Authorized Contact | KATHY GIANNAKOPOULOS Enrollments Manager 208-395-3954 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2020-07-09 |
Last Update Date | 2021-01-05 |