| NPI | 1568157030 |
|---|---|
| Doing Business As | COMMUNITY FAMILY CLINIC PHARMACY 340B |
| Entity Type | Organization |
| Authorized Contact | TROY COULSON Pharmacy Director 208-470-7979 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-04-10 |