NPI | 1841678935 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCUS C HURST Pharmacy Supervisor 208-881-1989 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: WY R10153) |
Enumeration Date | 2015-05-11 |
Last Update Date | 2021-09-01 |