| NPI | 1326758095 |
|---|---|
| Doing Business As | HERITAGE HEALTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BAKER CEO 208-292-0256 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2022-12-08 |