| NPI | 1437191418 |
|---|---|
| Other Name | PORTNEUF PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHNATHAN WILKER VP Finance & CFO 208-239-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID H12) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |