| NPI | 1942340906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL TETSUO KOMODA President 208-523-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 421CP) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-07-11 |