Allergy Butler, LLC
Pharmacy, Clinic Pharmacy in Nampa, ID. Organization (NPI-2).
NPI number1164035689
StatusActive
Last updated in NPPESAug 25, 2020
Details
- NPI
- 1164035689
- Entity type
- Organization (NPI-2)
- Legal business name
- Allergy Butler, LLC
- Organization subpart
- Yes
- Enumeration date
- Aug 25, 2020
- Certification date
- Aug 25, 2020
- Last updated
- Aug 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0002X | Pharmacy, Clinic Pharmacy | – | – | Yes |
Practice location
1611 12th Ave Rd Ste ANampa, ID 83686-6182
Phone 844-426-9843
Mailing address
10701 S Ozarks DrSouth Jordan, UT 84009-5693
Phone 801-652-7666
Authorized official
Edward Loomis
Ceo
8444269843
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