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Organization
VETERANS PHARMA INCORPORATED
Active
Organization
VETERANS PHARMA INCORPORATED
Active
Other names
Premium Rx Services
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK MOLYNEUX PHARMD. (PHARMACY MANAGER)
(208) 323-1259
Entity
Organization
Contact information
Practice address
9196 W EMERALD ST, SUITE 110, BOISE, ID 83704-0679
(208) 323-1259
(208) 323-5666
Mailing address
9196 W EMERALD ST, SUITE 110, BOISE, ID 83704-0679
(208) 323-1259
(208) 323-5666
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
07/01/2013
Last updated
09/25/2013
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