Organization
ROBERT LELAND COMSTOCK JR
Active
Other names
ASHTON COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BOB COMSTOCK RPH (OWNER)
(208) 652-3932
Entity
Organization
Contact information
Practice address
23 SOUTH 8TH STREET, SUITE 2, ASHTON, ID 83420
(208) 652-3932
(208) 652-3470
Mailing address
PO BOX 710, ASHTON, ID 83420-0710
(208) 652-3932
(208) 652-3470
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1279RP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184727240
—
ID
Enumeration date
09/06/2006
Last updated
04/01/2014
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