| NPI | 1306951785 |
|---|---|
| Doing Business As | MEDNOW PHARMACY #4 |
| Entity Type | Organization |
| Authorized Contact | BILL BECK President/CEO 208-895-1957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 1392CP) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID 1392CP) |
| 333600000X Pharmacy (Licence: ID 1392Cp) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2023-03-07 |