NPI | 1689029415 |
---|---|
Doing Business As | SAV-ON PHARMACY #3564 |
Entity Type | Organization |
Authorized Contact | KATHY GIANNAKOPOULOS Enrollment Manager 208-395-3954 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OR RP-0001102) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2016-04-29 |
Last Update Date | 2020-04-06 |