NPI | 1417918574 |
---|---|
Doing Business As | LIFES DOORS HCS PHARMACY |
Entity Type | Organization |
Authorized Contact | MARY LANGENFELD CEO 208-947-0967 |
Organization Subpart ? | No |
Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy (Licence: ID 1931LS) |
Enumeration Date | 2006-03-29 |
Last Update Date | 2010-05-04 |