Organization
SALMON PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ANDERSON PHARMD (OWNER/PHARMACIST)
(208) 742-3784
Entity
Organization
Contact information
Practice address
309 MAIN STREET, SALMON, ID 83467
(208) 742-3784
(208) 742-6363
Mailing address
309 MAIN STREET, SALMON, ID 83467
(208) 742-3784
(208) 742-6363
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013540814
—
ID
Enumeration date
02/20/2020
Last updated
07/02/2020
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