| NPI | 1508713066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY WOODS Owner 208-295-0430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Enumeration Date | 2026-03-13 |
| Last Update Date | 2026-03-13 |