Organization
NORTHWEST CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WIL EDWARDS PHARMD (OWNER)
(208) 875-1212
Entity
Organization
Contact information
Practice address
535 PINE ST STE 9, POTLATCH, ID 83855-9700
(208) 875-1212
Mailing address
535 PINE ST STE 9, POTLATCH, ID 83855-9700
(208) 875-1212
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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