NPI | 1730242355 |
---|---|
Doing Business As | PENNY WISE DRUG |
Entity Type | Organization |
Authorized Contact | THOMAS WILSON Sece Treas 208-459-2134 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 302RP) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-12-18 |
Last Update Date | 2014-09-30 |