Organization
KOHAL PHARMACY INC
Active
Parent organization
KOHAL PHARMACY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KOHAL PHARMACY INC
Authorized official
SANDALEE CORBRIDGE (TECH)
(435) 245-6422
Entity
Organization
Contact information
Practice address
740 MCKINLEY AVE, KELLOGG, ID 83837-2693
(208) 786-9303
(208) 783-4302
Mailing address
740 MCKINLEY AVE, KELLOGG, ID 83837-2693
(208) 786-9303
(208) 783-4302
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
1095CP
ID
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0025279
—
ID
Enumeration date
02/23/2007
Last updated
06/04/2025
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