| NPI | 1376117432 |
|---|---|
| Doing Business As | MEDICAP PHARMACY #8362 |
| Entity Type | Organization |
| Authorized Contact | DEVIN R TRONE President/Pharm D 208-288-1496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2021-05-13 |