| NPI | 1336705755 |
|---|---|
| Doing Business As | HEALTH WEST PROVIDENCE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AMELIA MURPHY Medical Staff Coordinator 208-232-7862 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2023-11-28 |