Organization
SAVEWAY MARKET INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLISON CARDONA PHARMD (PHARMACY MANAGER)
(208) 240-1741
Entity
Organization
Contact information
Practice address
1200 SHOUP ST, SALMON, ID 83467-4300
(208) 756-2822
Mailing address
PO BOX 640, SALMON, ID 83467-0640
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
39073RP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39073RP
IDAHO PHARMACY LICENSE
ID
Enumeration date
06/19/2015
Last updated
03/07/2023
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