| NPI | 1467143834 |
|---|---|
| Doing Business As | ST LUKES PHARMACY LOCKER - MERIDIAN WINCO #48/PROGRESS AVE |
| Entity Type | Organization |
| Authorized Contact | KELLY CURTIS Chief Pharmacy Officer 208-493-2307 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-05-17 |