NPI age
19 years
Enumerated 2006-08-13
Across 48 active pharmacy providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 47154LS | BOARD OF PHARMACY |
| 05 (AK) | 1704147 | |
| 05 (WA) | 6022362 | |
| 05 (ID) | 807106500 | |
| 01 (OR) | RP-0002900 | BOARD OF PHARMACY |
| 05 (OR) | 276268 |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
Subpart of Pharmerica Corporation.
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