NPI | 1861616740 |
---|---|
Entity Type | Organization |
Authorized Contact | RACHEL ARMSTRONG Director 208-233-2444 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: ID 1901LS) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2020-08-22 |