Organization
PRESTON DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG H HASLAM RPH (OWNER PHARMACIST)
(208) 852-1563
Entity
Organization
Contact information
Practice address
39 N 1ST E, PRESTON, ID 83263-1325
(208) 852-1563
(208) 852-1268
Mailing address
39 N 1ST E, PRESTON, ID 83263-1325
(208) 852-1563
(208) 852-1268
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
608CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002509500
—
ID
Enumeration date
03/19/2007
Last updated
03/23/2015
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