Full Name | |
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Speciality | Pharmacy - Community/retail Pharmacy |
Location | 201 Main St, Marsing, Idaho |
Authorized Official Name and Position | Holly Henggeler (PHARMACY DIRECTOR) |
Authorized Official Contact | 2083181315 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 9 Nampa ID 83653-0009 Ph: (208) 467-4431 | 201 Main St Marsing ID 83639 Ph: (208) 896-4150 |
NPI Number | 1114123304 |
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Provider Enumeration Date | 06/25/2007 |
Last Update Date | 02/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114123304 | NPI | - | NPPES |