Robert Leland Comstock Jr
Pharmacy, Community/Retail Pharmacy in Ashton, ID. Organization (NPI-2).
NPI number1184727240
StatusActive
Last updated in NPPESApr 1, 2014
Details
- NPI
- 1184727240
- Entity type
- Organization (NPI-2)
- Legal business name
- Robert Leland Comstock Jr
- Organization subpart
- No
- Enumeration date
- Sep 6, 2006
- Last updated
- Apr 1, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 1279RP | ID | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Ashton Community Pharmacy (Doing Business As)
Practice location
23 South 8th StreetSuite 2
Ashton, ID 83420
Phone 208-652-3932 · Fax 208-652-3470
Mailing address
Po Box 710Ashton, ID 83420-0710
Phone 208-652-3932 · Fax 208-652-3470
Authorized official
Bob Comstock
Owner
2086523932
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