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 |