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Organization

NORTHWEST PHARMACY SERVICES INC

Active
Parent organization
NORTHWEST PHARMACY SERVICES INC
Other names
Northwest Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTHWEST PHARMACY SERVICES INC
Authorized official
WIL O EDWARDS PHARMACIST (PHARMACIST)
(208) 875-1212
Entity
Organization

Contact information

Practice address
210 6TH ST, POTLATCH, ID 83855-9700
(208) 875-1212
(208) 875-0859
Mailing address
PO BOX 657, POTLATCH, ID 83855-0657
(208) 875-1212
(208) 875-0859

Taxonomy

Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
291U00000X
Clinical Medical Laboratory
333600000X
Pharmacy
814CP
ID
3336C0003X
Community/Retail Pharmacy
Primary
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
805885600
ID
Enumeration date
02/23/2007
Last updated
04/26/2024
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