Organization
Z-INC
Active
Other names
PAULS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY ZATICA (VP)
(208) 337-3919
Entity
Organization
Contact information
Practice address
20 E WYOMING, HOMEDALE, ID 83628
(208) 337-4888
(208) 337-4898
Mailing address
PO BOX 937, HOMEDALE, ID 83628-0937
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2168CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1307784
OTHER ID NUMBER
—
Enumeration date
07/12/2007
Last updated
08/31/2007
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