Organization
TNT APOTHECARY LLC
Active
Organization
TNT APOTHECARY LLC
Active
Parent organization
TNT APOTHECARY, LLC
Other names
Hagerman Valley Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
TNT APOTHECARY, LLC
Authorized official
THOMAS GILL WADSWORTH (OWNER)
(907) 786-6211
Entity
Organization
Contact information
Practice address
631 FROGS LNDG, HAGERMAN, ID 83332-5034
(208) 536-5761
(208) 536-5852
Mailing address
PO BOX 487, WENDELL, ID 83355-0487
(208) 965-9012
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
06/16/2018
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