| 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 |