| NPI | 1780778233 |
|---|---|
| Doing Business As | RATHDRUM DRUG |
| Entity Type | Organization |
| Authorized Contact | RONALD D. LAVIGNE President 208-556-1139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID dme431) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: ID dme431) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID cp477) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: ID dme431) | |
| 333600000X Pharmacy (Licence: ID cp477) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-04-03 |