| NPI | 1669615845 |
|---|---|
| Doing Business As | MEDICAL PLAZA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JACOB ERICKSON CEO 208-785-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2019-12-17 |