| NPI | 1356417984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMI L GARRETT Staff Pharmacist 208-756-2241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 185CP) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-08-22 |