| NPI | 1740879097 |
|---|---|
| Other Name | VIC'S FAMILY PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | VICTOR F ALLEN Owner/Pharmacist 208-465-7000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2021-01-21 |