| NPI | 1902149180 |
|---|---|
| Doing Business As | PHARMACY SHOP EXPRESS |
| Entity Type | Organization |
| Authorized Contact | ROBERT N MILLER President 208-785-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: ID FP3773567) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2013-04-05 |