| NPI | 1356430953 |
|---|---|
| Doing Business As | HOMEDALE DRUG |
| Entity Type | Organization |
| Authorized Contact | EDITH M ROE Administrator 208-337-3898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 1418CP) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |