The Pharmacy Doctor, INC.
Pharmacist, Pharmacotherapy in Boise, ID. Organization (NPI-2).
NPI number1528052008
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1528052008
- Entity type
- Organization (NPI-2)
- Legal business name
- The Pharmacy Doctor, INC.
- Organization subpart
- No
- Enumeration date
- Sep 9, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P1200X | Pharmacist, Pharmacotherapy | P3993 | ID | Yes |
Practice location
1471 Shoreline DrSuite 100
Boise, ID 83702-6879
Phone 208-386-9292 · Fax 208-386-9494
Mailing address
1471 Shoreline DrSuite 100
Boise, ID 83702-6879
Phone 208-386-9292 · Fax 208-386-9494
Authorized official
Samuel A. Hoagland
President
2083869292
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