| NPI | 1720465917 |
|---|---|
| Doing Business As | MOUNTAIN CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHARA HAYES Owner 208-287-4667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |