Organization
VETERANS PHARMA INCORPORATED
Active
Other names
Premium Rx Services
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK MOLYNEUX PHARMD. (PHARMACY MANAGER)
(208) 323-1259
Entity
Organization
Contact information
Practice address
9196 W EMERALD ST, SUITE 110, BOISE, ID 83704-0679
(208) 323-1259
(208) 323-5666
Mailing address
9196 W EMERALD ST, SUITE 110, BOISE, ID 83704-0679
(208) 323-1259
(208) 323-5666
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
07/01/2013
Last updated
09/25/2013
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