| NPI | 1932977782 |
|---|---|
| Doing Business As | ST LUKES PHARMACY COSM |
| Entity Type | Organization |
| Authorized Contact | KELLY CURTIS Chief Pharmacy Officer 208-493-2307 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2024-04-01 |