| NPI | 1740265420 |
|---|---|
| Doing Business As | HEARTLAND PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANDREA FERGUSON Authorized Official 208-497-3575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: ID 1624LS) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-12-14 |