Organization
ARNZEN SUPER DRUG, INC
Active
Parent organization
ARNZEN SUPER DRUG, INC
Other names
Arnzen's Kamiah Drug
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARNZEN SUPER DRUG, INC
Authorized official
MR. ROD F. ARNZEN RPH (MANAGER)
(208) 962-3401
Entity
Organization
Contact information
Practice address
318 MAIN STREET, KAMIAH, ID 83536-0787
(208) 935-2301
Mailing address
PO BOX 787, KAMIAH, ID 83536-0787
(208) 935-2301
(208) 935-2477
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376627596
—
ID
Enumeration date
06/16/2021
Last updated
06/16/2021
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