| NPI | 1932977600 |
|---|---|
| Former Legal Business Name | IDAHO PHARMACY, LLC |
| Entity Type | Organization |
| Authorized Contact | JAMES J HUNT Managing Member 208-229-5539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2025-10-29 |