Organization
KENDRICK PHARMACY INC
Active
Other names
KENDRICK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GARY SACKMAN RPH (OWNER)
(208) 934-4000
Entity
Organization
Contact information
Practice address
414 MAIN ST, GOODING, ID 83330-1315
(208) 934-4000
(208) 934-8899
Mailing address
414 MAIN ST, GOODING, ID 83330-1315
(208) 934-4000
(208) 934-8899
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
503CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002443200
—
ID
01
—
2019764
PK
—
Enumeration date
08/18/2006
Last updated
09/16/2014
Update your record
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