| 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 |