NPI | 1689318602 |
---|---|
Doing Business As | TERRY REILLY HEALTH SERVICES PHARMACY |
Doing Business As | TERRY REILLY HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | HOLLY HENGGELER Pharmacy Director 208-318-1315 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-04-26 |
Last Update Date | 2024-02-07 |