NPI | 1609931039 |
---|---|
Doing Business As | KJ'S PHARMACY |
Entity Type | Organization |
Authorized Contact | THOMAS GILL WADSWORTH Owner 208-733-9242 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: ID 37753RP) |
Additional Taxonomies | 333600000X Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2006-12-26 |
Last Update Date | 2016-03-24 |