Organization
DIRNE HEALTH CENTERS INC
Active
Other names
Heritage Health Pharmacy Rathdrum #2
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BAKER (CEO)
(208) 292-0256
Entity
Organization
Contact information
Practice address
16760 N HIGHWAY 41, RATHDRUM, ID 83858-8715
(208) 687-5627
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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