# KOHAL PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kohal Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770470882
- **Authorized official:** TONY WRIGHT (OWNER)
- **Authorized official phone:** (208) 682-4015

## Contact information

- **Practice address:** 504 N DIVISION ST, PINEHURST, ID 83850
- **Practice address phone:** (208) 682-4015
- **Practice address fax:** (208) 682-3939
- **Mailing address:** PO BOX 400, PINEHURST, ID 83850-0400
- **Mailing address phone:** (208) 682-4015
- **Mailing address fax:** (208) 682-3939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/20/2025
- **Last updated:** 06/20/2025