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Organization

Z INC

Active
Other names
Pauls Pharmacy #11
Organization subpart
No

Provider details

NPI number
Authorized official
PAULINO ZATICA (PRESIDENT)
(208) 337-3919
Entity
Organization

Contact information

Practice address
10565 LAKE HAZEL RD, BOISE, ID 83709
(208) 319-0882
(208) 319-0884
Mailing address
10565 LAKE HAZEL RD, BOISE, ID 83709
(208) 319-0882
(208) 319-0884

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1854CP
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1854CP
LICENSE #
ID
05
806866900
ID
Enumeration date
11/03/2006
Last updated
03/07/2023
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