NPI | 1578312021 |
---|---|
Doing Business As | INCLUSIVE CARE CLINIC PHARMACY |
Entity Type | Organization |
Authorized Contact | ALEXANDRA LOUISE HEYNEMAN Owner 208-913-2273 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care |
Enumeration Date | 2024-05-16 |
Last Update Date | 2024-08-29 |