| NPI | 1972633915 |
|---|---|
| Doing Business As | MAAG PRESCRIPTION & MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN CAROL MAAG CFO/Owner 208-233-2063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 526CP) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: ID 526CP) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2023-03-07 |