NPI | 1457739989 |
---|---|
Doing Business As | HELLS CANYON PHARMACY |
Entity Type | Organization |
Authorized Contact | CHARLES ANDREW POTTENGER Authorized Official 208-743-5515 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 38642RP) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2015-05-17 |
Last Update Date | 2021-09-15 |