Organization
KOHAL PHARMACY INC
Active
Other names
KOHAL PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
TONY WRIGHT RPH (OWNER)
(208) 682-4015
Entity
Organization
Contact information
Practice address
504 N DIVISION AVE, PINEHURST, ID 83850
(208) 682-3920
(208) 682-3939
Mailing address
PO BOX 400, PINEHURST, ID 83850-0400
(208) 682-4015
(208) 682-3939
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
857CP
ID
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0025278
—
ID
Enumeration date
02/13/2007
Last updated
11/26/2024
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