| NPI | 1912918418 |
|---|---|
| Doing Business As | BOBS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BOB NEWSOM President 208-269-7135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 1399CP) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2012-08-03 |