Organization
PRESTON DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SETH W HASLAM PHARMD (PHARMACIST OWNER)
(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
183500000X
Pharmacist
P3954
ID
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1303572
NABP NUMBER
ID
01
—
60018RP
STATE LICENSE
ID
Enumeration date
06/27/2005
Last updated
03/07/2023
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