Organization
VICS FAMILY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR F ALLEN BPH (OWNER PHARMACIST IN CHARGE)
(208) 465-7000
Entity
Organization
Contact information
Practice address
1513 12TH AVE RD, NAMPA, ID 83686-6008
(208) 465-7000
(208) 465-7091
Mailing address
1513 12TH AVE RD, NAMPA, ID 83686-6008
(208) 465-7000
(208) 465-7091
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
800CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1304790
NABP
—
01
—
800CP
BOARD OF PHARMACY
ID
05
—
804169900
—
ID
Enumeration date
10/12/2005
Last updated
01/15/2019
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