NPI | 1861780330 |
---|---|
Doing Business As | VIC'S FAMILY PHARMACY INC. |
Entity Type | Organization |
Authorized Contact | VICTOR ALLEN Owner 208-465-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: ID 16667RP) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2011-07-18 |
Last Update Date | 2019-02-13 |