| NPI | 1487698171 |
|---|---|
| Doing Business As | SNAKE RIVER LONG TERM CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID MILLS President 208-233-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: ID 44701LS) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: ID 1901LS) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2022-12-13 |