NPI | 1770687188 |
---|---|
Doing Business As | TERRY REILLY HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | HOLLY HENGGELER Pharmacy Director 208-318-1315 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-09-08 |
Last Update Date | 2024-02-07 |