NPI | 1508545237 |
---|---|
Doing Business As | MEDICAP PHARMACY 8438 |
Entity Type | Organization |
Authorized Contact | DEVIN R TRONE President 208-288-1496 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2023-07-11 |
Last Update Date | 2023-07-11 |