| NPI | 1619350774 |
|---|---|
| Doing Business As | FHS BURLEY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STACEY BLACKWOOD Credentialing 208-737-6718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: ID 39954RP) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2021-05-13 |