NPI age
20 years
Enumerated 2005-10-12
Across 117 active pharmacy providers in Idaho.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 1304790 | NABP |
| 01 (ID) | 800CP | BOARD OF PHARMACY |
| 05 (ID) | 804169900 |
Multi-provider organization. 2 individual providers on file at this primary address.
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