| NPI | 1518913169 |
|---|---|
| Doing Business As | SAVON PHARMACY #6091 |
| Doing Business As | SAV-ON PHARMACY #4091 |
| Entity Type | Organization |
| Authorized Contact | KATHY GIANNAKOPOULOS Enrollment Manager 208-395-3954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NV PH01545) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-04-06 |