| NPI | 1366275638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS C HURST Pharmacy Director 208-745-9201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |