| NPI | 1851406888 |
|---|---|
| Doing Business As | MEDICINE SHOPPE #517 |
| Entity Type | Organization |
| Authorized Contact | JAMES R STEVENSON Owner/Pharmacist 208-356-4481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: ID 1572CP) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID 1572CP) |
| 333600000X Pharmacy (Licence: ID 1572CP) | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: ID 1572CP) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-03-07 |