| NPI | 1891017208 |
|---|---|
| Doing Business As | PORTICO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PATTI FEENEY Business Manager 208-288-4341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: ID 2389RP) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2016-10-12 |