NPI | 1730135096 |
---|---|
Doing Business As | SHAWS PHARMACY #0811 |
Entity Type | Organization |
Authorized Contact | KATHY GIANNAKOPOULOS Enrollment Manager 208-395-3932 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NH 0605P) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2006-05-26 |
Last Update Date | 2024-07-10 |