NPI | 1326084104 |
---|---|
Doing Business As | TOM THUMB PHARMACY #3560 |
Entity Type | Organization |
Authorized Contact | TIFFANY ELIOPULOS Assistant Manager, Enrollments 208-395-3906 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: TX 22086) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2018-10-03 |