| NPI | 1962449413 |
|---|---|
| Doing Business As | SAVON PHARMACY #1311 |
| Entity Type | Organization |
| Authorized Contact | TAMMY GREEN Enrollment Manager 208-395-3932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.001625-RC) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-04-03 |